LTSS Service Care Manager

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $27 - $48 / hour

⏰ Full Time

🟢 Junior

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

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

• Develop, assess, and coordinate holistic care management activities for quality, cost-effective healthcare outcomes • Develop or assist with personalized service care plans for long-term care members • Educate members and families/caregivers on available services, benefits, procedures, provider instructions, referrals, and healthcare benefits • Evaluate member needs and available resources and recommend or facilitate plans for the best outcome • Identify providers, specialists, and community resources needed for long-term care • Coordinate members and/or families/caregivers with care provider teams to ensure services are accessible • Provide resource support for employment, housing, participant direction, independent living, justice, foster care, and other needs • Monitor care plans, member status, and outcomes and recommend updates based on member needs • Interact with long-term care healthcare providers and partners • Collect, document, and maintain member information and care management activities for regulatory compliance • Perform home and/or other site visits as needed • Provide feedback to leadership on quality-of-care and service-delivery improvements • Perform other duties as assigned and comply with all policies and standards

🎯 Requirements

• Must reside in Iredell, Rowan, Alexander, Davie, Davidson, Yadkin, Catawba, Wilkes, Lincoln, or Stanley County, North Carolina • RN or LCSW required • Bachelor's degree required, with specified qualifying-experience alternatives • 2–4 years of related experience • For North Carolina Standard Plan: two 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 • Experience interviewing and assessing member needs • Knowledge and experience regarding caseload management and casework practices • Knowledge regarding determining eligibility for DHSS programs • Knowledge regarding Federal and State law as it applies to DHSS programs • Ability to effectively solve problems and locate community resources • Ability to collaborate with caregivers, involved State agency representatives, and providers • Good interpersonal skills • Ability to practice Cultural Competency with awareness and respect for diversity • Knowledge of the needs and service delivery system for all populations in the case manager’s caseload • Technological savvy • Excellent communication and customer service skills • Assessment skills • Change management • LTSS and/or HCBS coordination

🏖️ 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 • additional forms of incentives may be included in total compensation