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Senior RN LTSS Service Care Manager
Centene Corporation. Perform 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, including the development and evaluation of personalized care plans. Proficient in coordinating services and collaborating with healthcare providers to ensure optimal outcomes for members.
Highest-signal resume keywords
RN State LicensureCare CoordinationCase ManagementRUG CertificationHome Health Experience
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 PlansService CoordinationMember AdvocacyData ReviewIntake AssessmentDisease EducationQuality ImprovementHome VisitsService Authorization
Soft Skills
CollaborationCommunicationCoachingProblem-SolvingInterpersonal Skills
Certifications & Qualifications
RN State LicensureRUG Certification
Industry Keywords
Long-Term CareManaged CareHome HealthHospiceAdult Care
About the role
Key responsibilities & impact- Perform care management duties for complex/high-acuity populations with primary medical/physical health needs
- Assess and coordinate medical and supporting services across the continuum of care
- Develop personalized care plans/service plans for long-term care members
- Evaluate service needs and recommend plans for optimal outcomes
- Continuously assess care plans and collaborate with care management teams, providers, specialists, and community resources
- Coordinate members, families/caregivers, and care provider teams to ensure appropriate person-centered care
- Monitor member status, complications, symptoms, changes in condition, and progress toward goals
- Review member data, referrals, and intake assessments to improve quality and develop care plans
- Collaborate with healthcare providers to facilitate services and treatments
- Collect, document, and maintain member information and care management activities
- Educate members and families/caregivers about 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
- Conduct home and other site visits, potentially monthly or more often
- Partner with leadership to improve quality and cost-effective service delivery
- May precept and coach clinical new hires, support onboarding, and assess competency readiness
- Travel to member visits
- 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 experience
- RN state licensure and/or compact state licensure, or current state nurse licensure for NP, required
- RUG certification required within 90 days of hire for Superior
- Experience in RN care coordination or case management with adult members aged 21 or older in Home Health, Hospice, Long-Term Care, or Managed Care preferred
- Travel required for member visits
- Ability to work Monday–Friday, 8:00 AM–5:00 PM CST
- Bachelor of Nursing degree preferred
Benefits
Comp & perks- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Mileage reimbursement for member assessment visits
- Potential additional incentives as part of total compensation