LTSS Service Care Manager

Centene Corporation • NC

133d • $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. Centene is hiring! We are seeking two LTSS Service Care Manager to join our Carolina Complete Health team. The ideal candidate will be a Registered Nurse (RN) or hold a license as a Licensed Clinical Social Worker (LCSW or LCSW-A), with experience in physical health, case management, and/or field-based care. This role requires 80% field work, visiting members in their homes or care facilities to provide hands-on support and coordination in Greenville and surrounding areas.

Requirements

• Requires a Bachelor's degree and 2 – 4 years of related experience.
• Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience.
• Prior experience with social work, geriatrics, gerontology, pediatrics, or human services.
• RN or LCSW / LCSW-A preferred.

Responsibilities

• Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.
• May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome.
• Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care.
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members.
• Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans.
• Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs.
• Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met.
• Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
• May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners.
• Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner.
• Performs other duties as assigned.
• Complies with all policies and standards.

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