Senior LTSS Service Care Manager, RN

Centene Corporation

. Assess and coordinate medical and supporting services for complex/high-acuity populations .

Posted 10/10/2026full-timeWaco • Texas • United StatesSenior💰 $36 - $65 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in assessing and coordinating care for complex populations, developing personalized care plans, and collaborating with healthcare providers to enhance service delivery. Proficient in compliance with clinical guidelines and resource utilization.

Highest-signal resume keywords

Registered Nurse (RN) LicensureNurse Practitioner (NP) LicensureResource Utilization Group (RUG) CertificationLong-Term Care KnowledgeIn-Home Assessment Capability

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationClinical AssessmentCare Plan DevelopmentData Review and AnalysisCommunity Resource IdentificationMonitoring Clinical SymptomsMember EducationService AuthorizationCare Management DocumentationQuality Improvement

Soft Skills

CommunicationAdvocacyCollaborationCoachingProblem-Solving

Certifications & Qualifications

Registered Nurse (RN) LicensureNurse Practitioner (NP) LicensureResource Utilization Group (RUG) Certification

Industry Keywords

High-Acuity PopulationsPerson-Centered CareHealthcare ServicesClinical GuidelinesCommunity ResourcesService DeliveryCare GapsIntake AssessmentsHome VisitsCompliance

About the role

Key responsibilities & impact

Assess and coordinate medical and supporting services for complex/high-acuity populations
Develop and continuously assess personalized long-term care and service plans
Identify providers, specialists, and community resources needed to address member needs
Coordinate members, families/caregivers, and care provider teams to ensure appropriate person-centered care
Monitor member status, complications, clinical symptoms, care-plan progress, and changes in condition
Review member data, referrals, and intake assessments to improve care quality and operating performance
Collaborate with healthcare providers to facilitate services 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 benefits
Act as liaison and member advocate between members/families, physicians, and facilities/agencies
Coordinate community resources and service authorizations, including 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 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

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
Resource Utilization Group (RUG) certification must be obtained within 90 days of hire
Bachelor's degree in Nursing preferred
Ability to assess and coordinate services for complex/high-acuity populations
Knowledge of long-term care, healthcare services, care plans, service authorization, and community resources
Compliance with state, federal, and clinical guidelines
In-home assessment and site-visit capability

Benefits

Comp & perks

Competitive pay
Health insurance
401K and 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