Centene Corporation
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.
Senior LTSS Service Care Manager, RN
November 18
Centene Corporation
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.
📋 Description
• 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 • 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 • Reviews member data to identify trends and improve operating performance and quality care • Collaborates with healthcare providers as appropriate to facilitate member services • Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
🎯 Requirements
• Graduate from an Accredited School of Nursing or a Bachelor's degree • 4–6 years of related experience • RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required • Resource Utilization Group (RUG) certification must be obtained within 90 days of hire
🏖️ 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
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