Centene Corporation

Senior LTSS Service Care Manager, RN

Centene Corporation
Posted 10/21/2026full-timeLubbock • Texas • United StatesSenior💰 $36 - $65 per hourWebsite
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Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care management for complex populations, including the development and assessment of long-term care plans, coordination of services, and education of members and families. Proficient in compliance with clinical guidelines and effective communication with healthcare providers and community resources.

Highest-signal resume keywords
RN - Registered Nurse - State LicensureResource Utilization Group (RUG) CertificationCare Management for Complex PopulationsLong-Term Care Plans DevelopmentIn-Home Assessments

About the role

Key responsibilities & impact
  • Perform care management duties across the continuum of care for complex/high acuity populations
  • Assess service needs and recommend plans for the best outcome
  • Develop and continuously assess long-term care plans/service plans
  • Coordinate members, families/caregivers, care providers, specialists, and community resources
  • Monitor member status, complications, clinical symptoms, and progress toward care goals
  • Review member data, referrals, and intake assessments to improve care quality and operating performance
  • Collaborate with healthcare providers to facilitate services and treatments and revise care plans
  • Collect, document, and maintain member information and care management activities
  • Educate members and families/caregivers on disease processes, care gaps, care options, referrals, and healthcare benefits
  • Act as liaison and member advocate between members/families, physicians, and facilities/agencies
  • Coordinate community resources and service authorizations for services such as meals, employment, housing, foster care, transportation, and activities of daily living
  • Perform home and other site visits, potentially once a month or more
  • Partner with leadership to improve quality and cost-effective service delivery
  • May precept clinical new hires and support onboarding, competency checkpoints, coaching, and field-practice readiness
  • Perform other duties as assigned and comply with all policies and standards

Requirements

What you’ll need
  • Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience
  • Bachelor's degree in Nursing preferred
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required, or NP - Nurse Practitioner - Current State's Nurse Licensure required
  • Resource Utilization Group (RUG) certification must be obtained within 90 days of hire
  • Ability to assess and coordinate medical and supporting services for complex/high acuity populations
  • Knowledge of long-term care plans, service plans, providers, specialists, and community resources
  • Ability to comply with state, federal, and clinical guidelines
  • Ability to perform in-home assessments and site visits
  • Ability to educate members, families/caregivers, and healthcare providers
  • Must be able to work in the Uvalde and Del Rio service delivery areas

Benefits

Comp & perks
  • Health insurance
  • 401K plan
  • Stock purchase plan
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field or office work schedules
  • Potential additional forms of incentives
  • Equal opportunity employment and consideration for qualified applicants

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Care Management DutiesAssessment of Service NeedsLong-Term Care PlansMonitoring Clinical SymptomsData Review and ImprovementEducation on Disease ProcessesCoordination of Community ResourcesSite VisitsService AuthorizationsCollaboration with Healthcare Providers
Soft Skills
Advocacy for MembersCommunication with FamiliesCoaching and MentoringTeam CollaborationProblem-Solving
Certifications & Qualifications
RN - Registered Nurse - State LicensureNP - Nurse Practitioner - Current State's Nurse LicensureResource Utilization Group (RUG) Certification
Industry Keywords
Complex/High Acuity PopulationsCare Quality ImprovementClinical Guidelines ComplianceHealthcare BenefitsService Delivery Areas