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Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Senior LTSS Service Care Manager, RN

ManagerManagerOtherRemoteSeniorTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

Texas

Posted

127 days ago

Salary

$36 - $65 / hour

Seniority

Senior

Bachelor Degree4 yrs expEnglish

Job Description

Senior LTSS Service Care Manager, RN

Centene Corporation

• Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations • Develops a personalized care plan/service plan for long-term care members • Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome • Develops and continuously assesses ongoing long-term care plans/service plans • Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team • Monitors care plans/service plans and/or member status • Monitors member status for complications and clinical symptoms or other status changes • Reviews member data to identify trends and improve operating performance and quality care • Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments • Collects, documents, and maintains all member information and care management activities • Provides and/or facilitates education to long-term care members and their families/caregivers • Acts as liaison and member advocate between the member/family, physician, and facilities/agencies • May perform home and/or other site visits to assess member needs and collaborate with resources • Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner • May precept clinical new hires and provide guidance and support in navigating within a Managed Care Organization (MCO)

Job Requirements

  • Graduate from an Accredited School of Nursing
  • 4–6 years of related clinical nursing experience
  • Bachelor's degree in Nursing preferred
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required
  • Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required
  • Clinical RN or Case Management experience in Nursing Facilities, LTC, SNF, Home Health, and/or Hospice settings
  • Current or previous government-sponsored healthcare experience preferred
  • Critical thinking skills and ability to use nursing judgement to assess member’s health risks to ensure member safety
  • Strong clinical documentation and time management skills
  • Flexibility, resilience, and excellent interpersonal communication skills for member advocacy
  • Reliable transportation

Benefits

  • 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

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