LTSS Service Care Manager

Centene Corporation•Remote-KS, KS

6d•$27 - $49•Hybrid

About The Position

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.

Requirements

Must Reside Within 30 Miles of Miami, Franklin, Osage, or Linn County, KS
Field Based (50%)
Technological Savvy
Excellent Communication and Customer Service Skills
Assessments Skills
HCBS Waiver Experience
Case Management
Self-Starter
Experience With Long-term Care Facilities or Transitions
Bachelor's degree and 2 – 4 years of related experience.
Bachelor’s degree in health, human, social work or education services with one or more years of qualifying experience.
High school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, or persons with physical or developmental disabilities, or HIV/AIDS population.

Responsibilities

Develop, assess, and coordinate holistic care management activities to enable quality, cost-effective healthcare outcomes.
Develop or assist with developing personalized service care plans/service plans for long-term care members.
Educate members and their families/caregivers on services and benefits available to meet member needs.
Evaluate the needs of the member and available resources, and recommend/facilitate the plan for the best outcome.
Assist with developing ongoing long-term care plans/service plans and identify providers, specialists, and/or community resources needed for long-term care.
Coordinate between the member/family/caregivers and the care provider team to ensure identified services are accessible to members.
Provide 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.
Monitor care plans/service plans, member status, and outcomes, and provide recommendations based on identified member needs.
Interact with long-term care healthcare providers and partners to ensure member needs are met.
Collect, document, and maintain long-term care member information and care management activities to ensure compliance with regulators.
Perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners.
Provide and/or facilitate education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
Provide 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.
Perform other duties as assigned.
Comply with all policies and standards.