LTSS Service Care Manager at Centene

You are a healthcare professional with a Bachelor’s degree and two to four years of related experience in care coordination. You should be comfortable assessing

Work type: remote

Location: Remote-KS

Type: Full-time

Summary

You are a healthcare professional with a Bachelor’s degree and two to four years of related experience in care coordination. You should be comfortable assessing member needs and developing long-term care plans in a community-based setting. **What makes it worth a look...** Centene offers a remote-capable role based in Kansas, requiring 50% to 75% local travel for field visits with mileage reimbursement. The schedule is a predictable Monday through Friday shift and includes a comprehensive benefits package with 401K, tuition reimbursement, and stock purchase plans. **You might be a good fit if you...** * Hold a Bachelor’s degree or possess equivalent professional experience. * Have direct experience with long-term care member assessments. * Are comfortable navigating documentation systems to ensure federal and state compliance. * Can manage regional field visits to coordinate care between patients and providers.

Job Description

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.
 

Applicants for this role must reside in Kansas as the position requires 50% - 75% local travel for field visits (varies by location). Candidates can work remotely from their home the remaining time. The schedule is Monday - Friday, 8am - 5pm. We provide all necessary equipment and reimburse mileage at the current IRS rate.

Position Purpose: 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.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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