LTSS Service Care Manager

13 minutes ago

🤠 Texas – Remote

Although this job is listed in Texas, this company may be open to hiring remote in other states.

💵 $26 - $47 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

Apply Now

Receive Emails with Similar Jobs

Centene Corporation

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Non-profit • Social Impact

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

📋 Description

• 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.

🎯 Requirements

• 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 • Social work experience preferred

🏖️ Benefits

• competitive pay • 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