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. Perform care management duties to 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 care management for complex populations, including developing personalized care plans and coordinating services across various healthcare settings. Proficient in clinical documentation, problem-solving, and collaboration with healthcare providers to ensure optimal patient outcomes.
Highest-signal resume keywords
RN — Registered Nurse — State Licensure4–6 Years Clinical Nursing ExperienceClinical Documentation SkillsCare Coordination ExperienceResource 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 ManagementPersonalized Care PlansClinical DocumentationProblem-SolvingAssessment of Service NeedsMonitoring Care PlansCollaboration with Healthcare ProvidersHome VisitsTransitions of CarePatient Advocacy
Soft Skills
Communication SkillsAttention to DetailOrganization/Time ManagementFlexibilityProfessionalism
Certifications & Qualifications
RN — Registered Nurse — State LicensureResource Utilization Group (RUG) Certification
Industry Keywords
Care CoordinationLong-Term CareHigh-Acuity PopulationsInpatient to Home Care TransitionsClinical GuidelinesCommunity ResourcesHealthcare BenefitsSkilled Nursing FacilitiesAssisted LivingHospice Care
About the role
Key responsibilities & impact- Perform care management duties to 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 service needs of complex or high-risk/high-acuity members and recommend plans for optimal outcomes
- Continuously assess long-term care plans and collaborate with care management teams to identify providers, specialists, and community resources
- Coordinate between members/families/caregivers and care provider teams to ensure appropriate person-centered care
- Monitor care plans, member status, changes in condition, complications, symptoms, and progress toward goals
- Assess potential entry into higher levels of care and/or waiver eligibility
- Review member data, referrals, and intake assessments to improve care quality and develop appropriate plans
- Collaborate with healthcare providers to facilitate services/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, and healthcare benefits
- Act as liaison and member advocate between members/families, physicians, and facilities/agencies
- Educate on and coordinate community resources and service authorizations
- Conduct home and/or 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 clinical new hires and provide coaching, shadowing, onboarding, and competency support
- Perform other duties as assigned and comply with all policies and standards
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
- Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills
- Ability to work under quick TAT times and deadlines
- Ability to adapt to changing business needs with openness, flexibility, and professionalism
- 7+ years of clinical RN Case Management or Care Coordination with adult members needing transitions from inpatient to home care, assisted living, home health, hospice, long-term care, or skilled nursing facilities preferred
- Bachelor's degree in nursing (BSN) preferred
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Mileage reimbursement for member visits