LTSS Service Care Manager

2 months ago


WILMINGTON, 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.

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. (Must reside in Jacksonville or Goldsboro).

  • 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
  • For North Carolina Tailored 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 / LCSW-A preferred.
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.



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


  • Wilmington, NC, 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. Position Purpose: Assists in developing, assessing, and coordinating...


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


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


  • Wilmington, Delaware, United States Computer Aid Full time

    We are seeking a skilled Case Manager, RN to join our team at Computer Aid. As a key member of our healthcare staff, you will be responsible for providing community-based care coordination/management services to our clients in the state of Delaware.This is a full-time, hybrid position that requires working flexible hours to meet client needs. You will travel...


  • Wilmington, Delaware, United States CAI Full time

    Job OverviewWe are seeking a dedicated and compassionate Healthcare Professional to join our team as a Community-Based Care Coordinator. In this role, you will be responsible for delivering community-based care management and coordination services to clients in Delaware, ensuring they receive the appropriate treatment and resources for chronic and complex...

  • Nurse Case Manager

    6 days ago


    Wilmington, Delaware, United States CAI Full time

    Job SummaryWe are seeking an experienced Registered Nurse to join our team as a Case Manager in Delaware. As a valued member of our healthcare team, you will be responsible for providing community-based care coordination and management services to our clients.About the RoleIn this role, you will work closely with healthcare teams to assess, plan, coordinate,...


  • Wilmington, Delaware, United States Computer Aid Full time

    Job Summary:Clinical Care Coordinators play a vital role in providing community-based care coordination and management services for clients. This full-time, hybrid position will be based in Delaware, requiring the ability to travel within the state.We are seeking a motivated Clinical Care Coordinator to join our team. The ideal candidate will have prior...

  • Case Manager, RN

    3 weeks ago


    Wilmington, United States CAI Full time

    Job ID NumberR4255Employment TypeFull timeWorksite FlexibilityHybridJob SummaryWe are looking for a motivated Case Manager, RN ready to take us to the next level! If you have prior experience with coordinating, implementing, and evaluating effective treatment and are looking for your next career move, apply now.Job DescriptionWe are looking for a Case...


  • wilmington, United States Computer Aid Full time

    Registered Nurse Case ManagerJob ID Number R4185 Employment Type Full time Worksite Flexibility Hybrid Job Summary We are looking for a motivated Registered Nurse Case Manager ready to take us to the next level! If you have prior experience with coordinating, implementing, and evaluating effective treatment and are looking for your next career move,...


  • Wilmington, Delaware, United States Computer Aid Full time

    Job SummaryWe are seeking a skilled Registered Nurse Case Manager to join our team in Delaware. As a Community Health Care Navigator, you will play a vital role in providing community-based care coordination and management for our members.About the RoleThis is a full-time 3-month contract to hire position with a hybrid schedule. You will travel to members'...


  • Wilmington, Delaware, United States CAI Full time

    Job OverviewWe are seeking a skilled and compassionate Delaware Care Coordination Specialist to join our team at CAI. This is a full-time, hybrid role that requires travel throughout the state of Delaware.About the Role:The successful candidate will be responsible for providing community-based care coordination services to clients in Delaware. This includes...


  • wilmington, United States Computer Aid Full time

    Case Manager, RNJob ID Number R4255 Employment Type Full time Worksite Flexibility Hybrid Job Summary We are looking for a motivated Case Manager, RN ready to take us to the next level! If you have prior experience with coordinating, implementing, and evaluating effective treatment and are looking for your next career move, apply now. Job...

  • Case Manager, RN

    3 weeks ago


    Wilmington, United States CAI Full time

    Job ID NumberR4255 Employment TypeFull time Worksite FlexibilityHybrid Job SummaryWe are looking for a motivated Case Manager, RN ready to take us to the next level! If you have prior experience with coordinating, implementing, and evaluating effective treatment and are looking for your next career move, apply now. Job Description We are looking for a Case...


  • Wilmington, Delaware, United States Murtech Full time

    Job DescriptionMurtech is seeking a dedicated Care Manager, RN to join our team in Kent County, DE. As a Care Manager, you will be responsible for providing high-quality care coordination services to eligible members with chronic and complex health care needs.Responsibilities:Travel to members' homes, nursing facilities, and other community-based settings to...


  • Wilmington, United States CAI Full time

    Job ID NumberR4185Employment TypeFull timeWorksite FlexibilityHybridJob SummaryWe are looking for a motivated Registered Nurse Case Manager ready to take us to the next level! If you have prior experience with coordinating, implementing, and evaluating effective treatment and are looking for your next career move, apply now.Job DescriptionWe are looking for...


  • Wilmington, Delaware, United States Christiana Care Full time

    Director of Rehabilitation ServicesSalary: $120,000 - $160,000 per annum About the RoleWe are seeking a highly experienced and skilled professional to lead our Rehabilitation Services team as the Director of Rehabilitation Services. As a key member of our leadership team, you will be responsible for providing strategic direction and oversight to ensure the...


  • Wilmington, United States BAYADA Home Health Care Full time

    BAYADA Home Health Care has an immediate opening for a Client Services Manager in our Wilmington, DE Assistive Care Office. If you are looking for an exciting career opportunity in a growing industry, a Client Services Manager could be the position for you. BAYADA believes that our clients and their families deserve home health care delivered with...


  • Wilmington, Delaware, United States Computer Aid Full time

    Job Title: Senior Community Health NavigatorLocation: Delaware, USASalary: $80,000 - $100,000 per yearAbout Us:Computer Aid is a dynamic and innovative healthcare organization dedicated to providing exceptional care to our clients. We are seeking an experienced Registered Nurse Case Manager to join our team.About the Role:We are looking for a highly skilled...


  • Wilmington, Delaware, United States Computer Aid Full time

    About the JobWe are seeking a dedicated and compassionate Case Manager, RN to join our team in Delaware. As a Case Manager, you will play a vital role in providing community-based care coordination/management for our clients' members. If you have prior experience with coordinating, implementing, and evaluating effective treatment and are looking for your...