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Senior LTSS Service Care Manager, RN
Centene Corporation. Performs care management duties to assess and coordinate medical and supporting services for complex/high-acuity populations .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management for complex populations, including the development and evaluation of personalized care plans, coordination of services, and collaboration with healthcare providers. Proficient in conducting in-home assessments and ensuring compliance with clinical guidelines and standards.
Highest-signal resume keywords
Care ManagementPersonalized Care PlansIn-Home AssessmentsRN - Registered Nurse LicensureResource Utilization Group Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care CoordinationClinical AssessmentData ReviewCare Plan EvaluationMember Advocacy
Soft Skills
CollaborationCommunicationEducationCoaching
Certifications & Qualifications
RN - Registered Nurse LicensureResource Utilization Group Certification
Industry Keywords
High-Acuity PopulationsLong-Term CareClinical GuidelinesCommunity ResourcesCare Gaps
About the role
Key responsibilities & impact- Performs care management duties to assess and coordinate medical and supporting services for complex/high-acuity populations
- Develops personalized care plans/service plans for long-term care members
- Evaluates complex or high-risk members and recommends optimal care plans
- Continuously assesses care plans and collaborates with care management teams, providers, specialists, and community resources
- Coordinates person-centered care between members, caregivers, and care provider teams
- Monitors member status, care-plan progress, complications, clinical symptoms, and changes in condition
- Reviews member data, referrals, and intake assessments to improve care quality and operating performance
- Collaborates with healthcare providers to facilitate services, treatments, and revised care plans
- Collects, documents, and maintains member information and care-management activities
- Educates members and families/caregivers on disease processes, care gaps, care options, referrals, benefits, and provider instructions
- Acts as liaison and member advocate between members/families, physicians, and facilities/agencies
- Coordinates community resources and service authorizations, including meals, employment, housing, foster care, transportation, and activities of daily living
- Performs home and other site visits as required
- Partners with leadership to improve quality and cost-effective service delivery
- May precept, coach, and support clinical new hires and preceptees through onboarding and competency checks
- Performs other duties as assigned
- Complies 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 perform in-home assessments and occasional home and/or other site visits
- Compliance with state, federal, clinical guidelines, policies, and standards
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 and diversity commitment