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Senior RN, LTSS Service Care Manager
Centene Corporation. Assess and coordinate medical and supporting services across the continuum of care for complex/high-acuity populations .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical nursing and care coordination, with a focus on developing personalized care plans and collaborating with healthcare providers to enhance service delivery. Proficient in clinical documentation and compliance with healthcare regulations.
Highest-signal resume keywords
RN State LicensureClinical DocumentationCare CoordinationResource Utilization Group CertificationProblem-Solving
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical NursingCare Plan DevelopmentMember AssessmentData ReviewService Authorization Coordination
Soft Skills
CommunicationAttention to DetailOrganizationTime ManagementFlexibility
Certifications & Qualifications
RN State LicensureResource Utilization Group Certification
Industry Keywords
Care CoordinationLong-Term CareAssisted LivingHome HealthSkilled Nursing
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 and service plans
- Coordinate members, families/caregivers, providers, specialists, facilities, agencies, and community resources
- Monitor member status, care-plan progress, complications, clinical symptoms, and changes in condition
- Review member data, referrals, and intake assessments to develop appropriate care plans
- Collaborate with healthcare providers to facilitate services and treatments and revise care plans
- Collect, document, and maintain member information and care-management activities in compliance with state, federal, and clinical guidelines
- Educate members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, benefits, and community resources
- Coordinate service authorizations for services such as meals, employment, housing, foster care, transportation, and activities of daily living
- Conduct home and other site visits to assess member needs and collaborate with resources
- Partner with leadership to improve quality of care and cost-effective service delivery
- May precept, coach, and support clinical new hires during onboarding and competency development
- Perform other duties as assigned and comply with policies and standards
Requirements
What you’ll need- Graduate from an Accredited School of Nursing
- 4–6 years of related clinical nursing experience
- RN state licensure and/or compact state licensure, or current state nurse licensure as a Nurse Practitioner
- Resource Utilization Group (RUG) certification must be obtained within 90 days of hire for Superior
- Strong clinical documentation, problem-solving, communication, attention to detail, organization, and time management skills
- Ability to work under quick TAT times and deadlines
- Ability to adapt to changing business needs with openness, flexibility, and professionalism
- Preferred: 7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, or Skilled Nursing facilities
- Bachelor's degree in nursing (BSN) preferred
Benefits
Comp & perks- 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
- Mileage reimbursement for member visits
- Potential additional incentives