See more Collapse

LTSS Service Care Manager

1 month ago

Durham, United States WellCare of North Carolina Full time
Job Description

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.

  • 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 Standard 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 required.

Pay Range: $25.97 - $46.68 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 other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

We have other current jobs related to this field that you can find below

  • LTSS Service Care Manager

    3 weeks ago

    Durham, United States WellCare of North Carolina Full time

    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. Position Purpose: Assists in developing, assessing, and coordinating...

  • LTSS Service Care Manager

    2 months ago

    Durham, United States Centene Corporation Full time

    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. Evaluates the needs of the member, the resources available, and...

  • LTSS Service Care Manager

    2 months ago

    Durham, United States WellCare of North Carolina Full time

    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. Evaluates the needs of the member, the resources available, and...

  • LTSS Service Care Manager

    1 month ago

    DURHAM, United States WellCare of North Carolina Full time

    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. Evaluates the needs of the member, the resources available, and...

  • LTSS Service Care Manager

    1 month ago

    Durham, United States WellCare of North Carolina Full time

    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. Evaluates the needs of the member, the resources available, and...

  • LTSS Service Care Manager

    4 weeks ago

    Durham, United States WellCare of North Carolina Full time

    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. Evaluates the needs of the member, the resources available, and...

  • LTSS Service Care Manager

    2 months ago

    Durham, United States Centene Corporation Full time

    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, youll have access to competitive benefits including a fresh perspective on workplace flexibility. + Evaluates the needs of the member, the resources available, and...

  • LTSS Service Care Manager

    4 weeks ago

    Durham, United States WellCare of North Carolina Full time

    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. Evaluates the needs of the member, the resources available, and...

  • LTSS Service Care Manager

    2 weeks ago

    Durham, United States WellCare of North Carolina Full time

    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. Evaluates the needs of the member, the resources available, and...

  • LTSS Service Care Manager

    2 months ago

    Durham, United States Centene Corporation Full time

    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. Evaluates the needs of the member, the resources available, and...

  • LTSS Service Care Manager

    2 months ago

    Durham, United States Carolina Complete Health Full time

    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. Qualified applicants must reside in Greensboro, NCPosition Purpose:...

  • LTSS Service Care Manager

    1 month ago

    Durham, United States Carolina Complete Health Full time

    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. Qualified applicants must reside in Greensboro, NC Position Purpose:...

  • LTSS Service Care Manager

    2 months ago

    Durham, NC, United States WellCare of North Carolina Full time

    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. Evaluates the needs of the member, the resources available, and...

  • Customer Service Representative Manager

    2 months ago

    Durham, United States Park Veterinary Hospital & Urgent Care Full time

    Job DescriptionJob DescriptionJob Title: Client Services Representative Manager Department: Client Services Schedule: Full-time, 40+ hours; schedule varies Classification: Non-Exempt Reporting Structure: Office Manager Position Summary:The Customer Service Representative (CSR) Manager is a pivotal role within our organization, responsible for overseeing the...

  • Automotive Technical Service Manager

    1 week ago

    Durham, United States Mr. Tire Auto Service Centers Full time

    Job DescriptionJob DescriptionCompany DescriptionMy store located at 1712 E HWY 54 (near Hwy 54 and Hwy 55) needs an experienced person that can Manage the Service Department. I expect this person to be able to manage the flow of the vehicles in the bays, assist the Techs as well as Sell automotive tires and service. This potential candidate MUST understand...

  • Care Management RN

    1 day ago

    DURHAM, United States Fresenius Medical Care Full time

    span>PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses.  The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group...

  • Residential Plumbing Manager

    3 weeks ago

    Durham, United States JD Service Now Full time

    Job DescriptionJob DescriptionWho we areWith a growing company comes the need for the right addition to our team. This position is for a true leader in our plumbing residential division. As a company we pride ourselves on Doing It Right! Taking care of the customer is our top priority and we want to be the first company they think about when faced with a...

  • Service Access Manager

    1 month ago

    Durham, United States Professional Diversity Network Full time

    JOB LOCATION: Duke Triangle Heart Associates - 1821 Hillandale Rd JOB SUMMARY: We are seeking a Service Access Manager who will manage service access activities and staff to achieve continuous and optimal patient care at Duke Triangle Heart Associates in Durham, NC. JOB DUTIES AND RESPONSIBILITIES: Supervise and coordinate clinic/department activities to...

  • Medical Lab Scientist

    1 week ago

    Durham, United States 3R Truck Service Full time

    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Health System Clinical Laboratories Pursue your passion for caring and innovation as a team member...

  • Automotive Service Manager

    1 month ago

    Durham, United States Midas DURHAM 3166 Full time

    Job DescriptionJob DescriptionAt Midas we are dedicated to providing quality services to customer vehicles in the areas of inspection, diagnosis and repair utilizing the expertise attained through ASE Certifications and/or years of automotive repair experience.We are looking for automotive service managers to manage and direct all service department...