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Posted: 10/20/2026Senior LTSS Service Care Manager, RN
Centene CorporationCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in assessing and coordinating medical services for complex populations, developing personalized care plans, and collaborating with healthcare providers to ensure optimal outcomes. Proficient in educating members and families on care options and navigating community resources.
Highest-signal resume keywords
Registered Nurse (RN) LicensureResource Utilization Group (RUG) CertificationCare Plan DevelopmentIn-Home AssessmentsCollaboration with Healthcare Providers
About the role
Key responsibilities & impact- Assess and coordinate medical and supporting services across the continuum of care for complex/high-acuity populations
- Develop personalized care plans/service plans for long-term care members
- Evaluate complex or high-risk members' service needs and recommend plans for optimal outcomes
- Continuously assess care plans and collaborate with care management teams to identify providers, specialists, and community resources
- Coordinate members, families/caregivers, and care provider teams to ensure appropriate person-centered care
- Monitor member status, care-plan progress, complications, clinical symptoms, and changes in condition
- Review member data, referrals, and intake assessments to improve quality and develop appropriate care plans
- Collaborate with healthcare providers to facilitate services and treatments
- Collect, document, and maintain member information and care management activities
- Educate members and families/caregivers on disease processes, care gaps, care options, referrals, benefits, and provider instructions
- 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 of care and cost-effective service delivery
- May precept, coach, and support clinical new hires during onboarding and field practice
- Engage with People Leaders and cross-functional teams to monitor new-hire 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, healthcare providers, specialists, and community resources
- Ability to comply with state, federal, and clinical guidelines
- Ability to perform in-home assessments and home/site visits
- Ability to educate members, families/caregivers, and providers on care options, referrals, benefits, and disease processes
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plan
- Tuition reimbursement
- Paid time off
- Paid 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
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care CoordinationService Plan DevelopmentClinical AssessmentData Review and DocumentationDisease Education
Soft Skills
CommunicationAdvocacyCollaborationCoachingProblem-Solving
Certifications & Qualifications
Registered Nurse (RN) LicensureResource Utilization Group (RUG) Certification
Industry Keywords
Long-Term CareHigh-Acuity PopulationsPerson-Centered CareCommunity ResourcesClinical Guidelines