LTSS Service Care Manager

🔥 5 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $27 - $48 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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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 • Develop or assist with personalized service care plans for long-term care members • Educate members and families/caregivers on available services and benefits • Evaluate member needs and available resources and recommend or facilitate appropriate plans • Develop ongoing long-term care plans and identify providers, specialists, and community resources • Coordinate members, families/caregivers, and care provider teams to ensure services are accessible • Provide resource support for employment, housing, participant direction, independent living, justice, and foster care needs • Monitor care plans, member status, and outcomes and recommend updates • 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 other site visits to assess needs and collaborate with healthcare providers and partners • Provide or facilitate education on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits • Provide leadership feedback on opportunities to improve quality of care and cost-effective service delivery • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree • 2–4 years of related experience • Equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position may be accepted • Candidate must reside in Pennsylvania • Approximately 50% travel to nursing facilities • Previous assessment experience strongly preferred • Experience with Community Health Choices (CHC) strongly preferred • Must comply with all policies and standards

🏖️ Benefits

• Health insurance • 401K • 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 • Equal opportunity employer committed to diversity