Senior RN, LTSS Service Care Manager

Centene Corporation

. Performs care management duties to assess and coordinate medical and supporting services for complex/high-acuity populations .

Posted 11/3/2026full-timeMcAllen • Texas • United StatesSenior💰 $36 - $65 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management, including the development of personalized care plans and coordination of services for high-acuity populations. Proficient in collaborating with healthcare teams and community resources to optimize member outcomes and ensure effective service delivery.

Highest-signal resume keywords

Registered Nurse LicensureCare Coordination ExperienceCase Management ExperienceResource Utilization Group CertificationBehavioral Health Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementClinical AssessmentPersonalized Care PlansService CoordinationData DocumentationQuality ImprovementHome Health ExperienceLong-Term Care ExperienceNursing Rehabilitation ExperienceAdult Care Experience

Soft Skills

CollaborationAdvocacyEducationCoachingCommunication

Certifications & Qualifications

Registered Nurse LicensureResource Utilization Group Certification

Industry Keywords

Managed CareBehavioral HealthHome HealthLong-Term CareSkilled Nursing Facility

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 service needs and recommends plans for optimal outcomes
Collaborates with care management teams, healthcare providers, specialists, community resources, members, and caregivers
Coordinates member services, treatments, authorizations, and person-centered care
Monitors member status, complications, clinical symptoms, care-plan progress, and changes in condition
Reviews member data, referrals, and intake assessments to improve quality and operating performance
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 including meals, employment, housing, foster care, transportation, and activities of daily living
Conducts home and/or other site visits, potentially once a month or more
Partners with leadership to improve quality of care and cost-effective service delivery
May precept and coach clinical new hires, support onboarding, and assess competency readiness
Performs other duties as assigned and complies with policies and standards

Requirements

What you’ll need

Graduate from an Accredited School of Nursing
Requires 4–6 years of related clinical nursing and/or case management and care coordination 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 for Superior Health Plan
Experience in care coordination and/or case management with adult members (21 or older) in Behavioral Health, Home Health, Long-Term Care, Managed Care, Nursing Rehabilitation, or SNF required
Bachelor of Nursing degree preferred
Monday–Friday, 8:00 AM–5:00 PM CST availability
Travel is required for member visits

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules