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Senior UAS LTSS Assessor, RN
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 conducting UAS Assessments and developing long-term care plans. Proficient in coordinating services, educating members and families, and ensuring compliance with healthcare guidelines.
Highest-signal resume keywords
UAS Assessment ExperienceCare Management ExpertiseNY RN LicensureLong-Term Care PlanningService Coordination
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 ManagementUAS AssessmentsLong-Term Care PlanningService CoordinationHealthcare Benefits KnowledgeHome VisitsData ReviewCare Plan DevelopmentMonitoring Member StatusEducation on Disease Processes
Soft Skills
CollaborationAdvocacyCommunicationCoachingProblem-Solving
Certifications & Qualifications
NY RN LicensureNurse Practitioner Licensure
Industry Keywords
Complex PopulationsHigh-Acuity CarePerson-Centered CareClinical GuidelinesCommunity Resources
About the role
Key responsibilities & impact- Perform care management duties for complex/high-acuity populations with primary medical/physical health needs
- Conduct UAS Assessments for the MLTC member population with Fidelis
- Evaluate service needs and recommend plans for optimal outcomes
- Develop and continuously assess long-term care and service plans
- Collaborate with care management teams to identify providers, specialists, and community resources
- Coordinate with members, families/caregivers, and care provider teams to ensure person-centered care
- Monitor member status, complications, symptoms, care-plan progress, and changes in condition
- Review member data, referrals, and intake assessments to improve care quality and operating performance
- Collaborate with healthcare providers to facilitate services and treatments and revise care plans
- Collect, document, and maintain member information and care management activities
- Educate members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits
- Act as liaison and advocate among members, families, physicians, facilities, and agencies
- Coordinate community resources and service authorizations for services such as meals, employment, housing, foster care, transportation, and activities of daily living
- Perform home and/or other site visits as required
- Partner 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
- Perform other duties as assigned and comply with all policies and standards
Requirements
What you’ll need- Residency in Orange or Rockland County, New York
- NY RN Licensure required, or NP with current state nurse licensure
- Graduate from an Accredited School of Nursing OR a Bachelor's degree and 4–6 years of related experience
- Bachelor's degree in Nursing preferred
- Experience conducting UAS Assessments for MLTC members
- Knowledge of care management, long-term care planning, service coordination, and healthcare benefits
- Ability to assess complex/high-acuity populations and coordinate medical and supporting services
- Ability to conduct home and/or other site visits
- Ability to comply with state, federal, and clinical guidelines
- Ability to educate members and families/caregivers on disease processes, care options, referrals, and benefits
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Equal opportunity employer committed to diversity