LTSS Service Care Manager at Centene

**Who this is for** This position is for a compassionate healthcare professional or social worker dedicated to assessing and coordinating care for members requi

Work type: remote

Location: Remote-NC

Salary: $27 – $49/hr

Type: Full-time

Summary

**Who this is for** This position is for a compassionate healthcare professional or social worker dedicated to assessing and coordinating care for members requiring long-term support services. **Key highlights** You will work directly with members and their families to develop personalized care plans, perform in-person assessments, and facilitate access to community resources to ensure holistic, cost-effective health outcomes. **You might be a good fit if you...** - Reside in North Carolina and are comfortable with 75% field travel between Winston-Salem and Gastonia. - Have 2–4 years of experience in care management, LTSS (Long-Term Services and Supports), or human services. - Possess strong interpersonal skills and are licensed as an RN or LCSW/LCSW-A, which is highly preferred for this role.

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.
 

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.

• 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

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

License/Certification:

• 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.


• RN or LCSW / LCSW-A preferred

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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