LTSS Service Care Manager

Centene Corporation

1d•Hybrid

About The Position

Centene is transforming the health of our communities, one person at a time, serving 28 million members. As a diversified, national organization, Centene offers competitive benefits and a fresh perspective on workplace flexibility. The LTSS Service Care Manager position assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. This role may involve developing or assisting with personalized service care plans for long-term care members, and educating members and their families/caregivers on available services and benefits. The ideal candidate will bring expertise in care management face-to-face assessments, excellent customer service, and communication skills, and must reside in NC with a willingness to travel between Winston-Salem, NC, and Gastonia, NC, as 75% field work is required.

Requirements

Must Reside in NC
Willing to Travel between Winston-Salem, NC and Gastonia, NC
Field Work Required (75%)
Care Management Face to Face Assessments
Excellent Customer Service and Communication Skills
Requires a Bachelor's degree and 2 – 4 years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
For North Carolina Tailored Plan: 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.

Nice To Haves

RN or LCSW / LCSW-A preferred

Responsibilities

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.