Centene Corporation

Senior LTSS Service Care Manager, RN

Centene Corporation
Posted 10/20/2026full-timeMontour Falls • New York • 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 long-term care populations, including conducting UAS assessments and developing service plans. Proficient in coordinating care among members, families, and healthcare providers while ensuring compliance with clinical guidelines.

Highest-signal resume keywords
UAS AssessmentsCare ManagementRN LicensureLong-Term Care KnowledgeMember Education

About the role

Key responsibilities & impact
  • Perform care management duties for complex/high-acuity long-term care populations
  • Conduct UAS Assessments for the MLTC member population with Fidelis
  • Evaluate service needs and recommend plans for the best outcomes
  • Develop and continuously assess long-term care and service plans
  • Identify providers, specialists, and community resources
  • Coordinate members, families/caregivers, and care provider teams
  • Monitor care plans, member status, complications, clinical symptoms, and progress toward goals
  • Review member data, referrals, and intake assessments to improve quality and operating performance
  • Collaborate with healthcare providers to facilitate services and treatments
  • Collect, document, and maintain member information and care-management activities
  • Educate members and families/caregivers about disease processes, care gaps, provider instructions, 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
  • Conduct home and/or other site visits as required
  • Partner with leadership to improve quality of care and cost-effective service delivery
  • May precept and coach clinical new hires, support onboarding, and assess competency readiness
  • Perform other duties as assigned and comply with policies and standards

Requirements

What you’ll need
  • Schulyer, Steuben, Livingston, or Alleghany county residency required
  • NY RN Licensure required
  • Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience
  • RN – Registered Nurse – State Licensure and/or Compact State Licensure required, or NP – Nurse Practitioner – Current State's Nurse Licensure required
  • Bachelor's degree in Nursing preferred
  • Ability to conduct UAS Assessments
  • Ability to assess and coordinate services for complex/high-acuity populations
  • Knowledge of long-term care, managed care, healthcare benefits, service plans, and community resources
  • Ability to conduct member and caregiver education
  • Ability to document and maintain member and care-management information in compliance with state, federal, and clinical guidelines
  • Ability to conduct home and/or other site visits as required

Benefits

Comp & perks
  • Competitive pay
  • Health insurance
  • 401K
  • Stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field or office work schedules
  • Additional forms of incentives may be included in total compensation
  • Equal opportunity employer committed to diversity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Care Management DutiesService Plan DevelopmentClinical DocumentationAssessment CoordinationQuality ImprovementHome VisitsData ReviewCare Plan MonitoringCommunity Resource CoordinationMember Advocacy
Soft Skills
CollaborationCommunicationCoachingProblem-SolvingInterpersonal Skills
Certifications & Qualifications
NY RN LicensureNurse Practitioner Licensure
Industry Keywords
Managed CareHealthcare BenefitsClinical GuidelinesCare GapsService AuthorizationsComplex PopulationsCare Provider TeamsMember Status MonitoringIntake AssessmentsCommunity Resources