Senior LTSS Service Care Manager, RN

Centene Corporation

. Assess and coordinate medical and supporting services across the continuum of care for complex/high-acuity populations .

Posted 10/14/2026full-timeHouston • Texas • United StatesSenior💰 $36 - $65 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, personalized long-term care planning, and compliance with healthcare regulations. Proficient in assessing complex member needs and collaborating with healthcare providers to enhance service delivery.

Highest-signal resume keywords

Registered Nurse LicensureCare CoordinationLong-Term Care KnowledgeResource Utilization Group CertificationClinical Assessment Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Plan DevelopmentClinical MonitoringData Review and AnalysisMember AdvocacyService Authorization Coordination

Soft Skills

CommunicationCollaborationEducation and Training

Certifications & Qualifications

Registered Nurse LicensureResource Utilization Group Certification

Industry Keywords

Healthcare ServicesComplex/High-Acuity PopulationsState and Federal Healthcare RegulationsCommunity ResourcesPerson-Centered Care

About the role

Key responsibilities & impact

Assess and coordinate medical and supporting services across the continuum of care for complex/high-acuity populations
Develop and continuously assess personalized long-term care plans/service plans
Identify providers, specialists, and community resources needed to address member needs
Coordinate between members/families/caregivers and care provider teams to ensure appropriate person-centered care
Monitor member status, complications, clinical symptoms, changes in condition, and progress toward care goals
Review member data, referrals, and intake assessments to develop appropriate care plans and improve 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 for compliance
Educate members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, benefits, and community resources
Act as liaison and member advocate between members/families, physicians, and facilities/agencies
Coordinate 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, to assess needs and collaborate with resources
Partner with leadership to improve quality of care and cost-effective service delivery
May precept clinical new hires and provide onboarding coaching, shadowing, competency checkpoints, and readiness support
Perform other duties as assigned and comply with all policies and standards

Requirements

What you’ll need

Must be licensed in the state of Texas
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 complex/high-risk/high-acuity member needs
Knowledge of long-term care, healthcare services, care coordination, service plans, and community resources
Knowledge of state and federal healthcare regulations and clinical guidelines

Benefits

Comp & perks

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