FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Senior RN, LTSS Service Care Manager
Centene Corporation. Performs care management duties for complex/high-acuity populations with primary medical/physical health needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management for complex populations, developing personalized care plans, and collaborating with healthcare providers to ensure effective service delivery. Proficient in clinical documentation and problem-solving while maintaining strong communication and organizational skills.
Highest-signal resume keywords
Registered Nurse (RN) LicensureClinical DocumentationCare CoordinationCare ManagementResource Utilization Group (RUG) 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 ManagementClinical AssessmentsPersonalized Care PlansService CoordinationData ReviewDisease EducationTransition of CareClinical Nursing ExperienceCare Plan DevelopmentMember Advocacy
Soft Skills
Problem-SolvingCommunicationAttention to DetailOrganizationFlexibility
Certifications & Qualifications
Registered Nurse (RN) LicensureResource Utilization Group (RUG) Certification
Industry Keywords
Care CoordinationLong-Term CareSkilled Nursing FacilitiesHome HealthHospiceAssisted LivingInpatient to Home CareClinical NursingHealthcare ProvidersMember Services
About the role
Key responsibilities & impact- Performs care management duties for complex/high-acuity populations with primary medical/physical health needs
- Develops personalized care plans/service plans for long-term care members
- Assesses service needs and recommends plans for high-risk/high-acuity members
- Continuously assesses care plans and collaborates with care management teams to identify providers, specialists, and community resources
- Coordinates between members, families/caregivers, and care provider teams
- Monitors member status, changes in condition, complications, symptoms, and progress toward care goals
- Reviews member data, referrals, and intake assessments to develop and improve care plans
- Collaborates with healthcare providers to facilitate services and treatments
- Collects, documents, and maintains member information and care management activities
- Educates members and families/caregivers on disease processes, care gaps, care options, referrals, and healthcare benefits
- Acts as liaison and member advocate between members/families, physicians, and facilities/agencies
- Coordinates community resources and service authorizations for services such as meals, employment, housing, transportation, and activities of daily living
- Conducts home and other site visits, including clinical health assessments
- Partners with leadership to improve quality of care and cost-effective service delivery
- May precept clinical new hires and provide coaching, shadowing, onboarding, and competency support
- Complies with policies and standards and performs other duties as assigned
Requirements
What you’ll need- Graduate from an Accredited School of Nursing
- 4–6 years of related clinical nursing experience
- RN — Registered Nurse — State Licensure and/or Compact State Licensure required, or NP — Nurse Practitioner — Current State's Nurse Licensure
- Resource Utilization Group (RUG) certification must be obtained within 90 days of hire for Superior
- 7+ years of clinical RN Case Management or Care Coordination with adult members needing Transition of Care from Inpatient to Home Care, Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities preferred
- Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills required
- Ability to work under quick TAT times and deadlines
- Ability to adapt to changing business needs with openness, flexibility, and professionalism
- Bachelor's degree in nursing (BSN) preferred
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Mileage reimbursement
- Total compensation may include additional forms of incentives