LTSS Service Care Manager

LTSS Service Care Manager page is loaded## LTSS Service Care Manager locations:
Remote-NCtime type:
Full time posted on:
Posted Yesterday job requisition :
1629927

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.

Centene Corporation is hiring in
** Pasquotank County, North Carolina!
** We are seeking
** a LTSS Service Care Managers
** to join our Carolina Complete Health team.

The ideal candidate will be a
** Registered Nurse (RN)
** or hold a
** Licensed Clinical Social Worker license (LCSW or LCSW-A)
** with experience in physical health, case management, and/or field-based care.

This position requires approximately
** 80% field work**, conducting in-home and facility visits to provide hands-on care coordination and member support throughout
** Pasquotank County and surrounding areas**. Candidates should be comfortable working independently in the community while collaborating with interdisciplinary teams to ensure quality outcomes.
** 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.
** Education/

Experience:

** 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.

** 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

Pay Range: $27.02 - $48.55 per hour 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…