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LTSS Service Care Manager
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1 month ago
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Senior LTSS Service Care Manager
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Austin, Texas, United States Centene Corporation Full timeJob SummaryWe are seeking a highly skilled and compassionate Care Manager to join our team at Centene Corporation. As a Care Manager, you will play a critical role in assessing and coordinating medical and supporting services for complex and high-acuity populations. Your expertise will be instrumental in developing personalized care plans that promote...
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Senior LTSS Service Care Manager
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Austin, Texas, United States Centene Corporation Full timeJob SummaryWe are seeking a skilled Care Manager to join our team at Centene Corporation. As a Care Manager, you will play a critical role in assessing and coordinating medical and supporting services for complex/high acuity populations. Your primary focus will be on promoting quality, cost-effective care for our members.Key ResponsibilitiesDevelop...
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Senior LTSS Service Care Manager
1 week ago
Austin, Texas, United States Centene Corporation Full timeAbout the Role:Centene Corporation is seeking a skilled Care Manager to join our team. As a Care Manager, you will play a critical role in assessing and coordinating medical and supporting services for complex populations with primary medical/physical health needs.Key Responsibilities:Develop personalized care plans to address the needs of long-term care...
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1) Ancillary Medicaid/BH Mgr. and 2) LTSS Mgr.
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Austin, United States Texas Department of Aging & Disability Services Full timeJob Description: The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) department seeks two highly qualified candidates to fill two Manager V positions. The positions hired under this requisition include: 1.Long-Term Services and Supports (LTSS) Program Policy Manager. 2.Ancillary Medicaid Services and Behavioral Health...
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Senior LTSS Service Care Manager RN
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Austin, United States Centene Corporation Full timeYou 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: Performs care management duties to assess and...
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LTSS Service Care Manager
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Austin, Texas, United States Centene Corporation Full timeJob SummaryWe are seeking a skilled Care Manager to join our team at Centene Corporation. As a Care Manager, you will play a critical role in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes for our members.Key Responsibilities:Develop and implement personalized care plans for...
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Senior LTSS Service Care Manager
1 day ago
Austin, United States Centene Corporation Full timeYou 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. Candidate should reside in the MRSA Central service area - spanning...
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Senior LTSS Service Care Manager RN
1 week ago
Austin, Texas, United States Superior HealthPlan Full timeJob DescriptionYou could be the one who changes everything for our 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:Performs care management duties to assess and...
Senior LTSS Service Care Manager
2 months ago
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. Location: Position is hybrid. Candidate must reside in/around Webb County, TX. Position Purpose: For use by Arizona, Superior, and Sunflower only. 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 with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care. Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations Reviews referrals information and intake assessments to develop appropriate care plans / service plans Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits Acts as liaison and member advocate between the member/family, physician, and facilities/agencies Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience Bachelor's degree in Nursing preferred License/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required Location: Position is hybrid. Candidate must reside in/around Webb County, TX. Pay Range: $34.81 - $62.54 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.
