LTSS Service Care Manager (RN)

Centene Corporation • DE

128d • $26 - $47

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Must reside within the state of Delaware - this is a field position. Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the most complex or high risk/high acuity populations with primarily medical/physical health needs, to enable quality, cost-effective healthcare outcomes. Performs assessments, develops personalized care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs. Evaluates the medical, behavioral and social needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome.

Requirements

• Graduate from an Accredited School of Nursing or a Bachelor's degree.
• 2 – 4 years of related experience.
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Licensure required.

Responsibilities

• Completes assessments related to medical/physical health needs such as airway management, artificial hydration/nutrition, seizure interventions, medication administration, etc.
• Acts as liaison and member advocate between the member/family, physician, and facilities/agencies.
• Performs more frequent home and/or other visits (e.g., once a month or more) to assess member needs and collaborate with resources.
• Supports members with complex medical needs that may place populations at greater risk for potentially preventable events.
• Develops, monitors and modifies ongoing long-term care plans/service plans, to include skilled and/or long-term nursing service needs.
• Monitors member status for complications and clinical symptoms or other status changes.
• Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources.
• Provides and/or facilitates education to long-term care members and their families/caregivers on various healthcare topics.
• Educates on and coordinates community resources, to include medical, behavioral and social services.
• Provides coordination of service authorization to members and care managers for various services based on service assessment and plans.
• Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system.
• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members.

Benefits

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

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees