Current jobs related to Lead LTSS Service Care Manager - Ash Fork AZ United States - Arizona Complete Health

  • LTSS Service Coordinator

    3 months ago

    Corpus Christi, TX, United States Elevance Health Full time

    LTSS Service Coordinator - RNDescription Location: Field associates spend 3-5 days per week in-person with patients, members or providers The LTSS Service Coordinator- RN is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case, as...

  • LTSS Service Coordinator- RN Clinician

    3 months ago

    Arlington, VA, United States Elevance Health Full time

    LTSS Service Coordinator- RN ClinicianDescription Location: This is a field position and the candidate should reside in Alexandria or Arlington, VA. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the...

  • RN/LSW Care Manager

    3 months ago

    Blue Ash, United States Crawford Thomas Recruiting Full time

    Our client is a non-profit organization dedicated to helping older adults and people with disabilities remain safely in their homes by providing comprehensive care management and support services. With over 300 employees and an annual budget of $102.7 million, our client collaborates with nearly 300 contracted providers to serve the community...

  • LTSS Service Care Manager

    4 weeks ago

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

  • LTSS Service Care Manager

    4 weeks ago

    Lubbock, TX, United States Superior HealthPlan 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

    4 weeks ago

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

  • LTSS Service Care Manager

    4 weeks ago

    Irving, TX, United States Superior HealthPlan 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

    4 weeks ago

    Fort Sam Houston, TX, 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. This is a remote/work-from-home position, with travel required for...

  • Service Coordinator

    3 months ago

    San Antonio, TX, United States University Hospital Full time

    Service Coordinator (RN)Full Time 12238 Silicon Drive Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in...

  • Service Coordinator

    3 months ago

    San Antonio, TX, United States University Hospital Full time

    Service Coordinator (RN)Full Time 12238 Silicon Drive Nursing Day Shift POSITION SUMMARY/RESPONSIBIILITIES The Service Coordinator - Registered Nurse provides STAR Kids Members with initial and ongoing assistance by identifying, selecting, obtaining, coordinating, and using Covered Services and other supports to enhance the Member's well-being,...

  • Service Coordinator

    2 months ago

    San Antonio, TX, United States University Hospital Full time

    Service Coordinator (RN)Full Time 12238 Silicon Drive Nursing Day Shift POSITION SUMMARY/RESPONSIBIILITIES The Service Coordinator-RN/NP/PA (SC-RN/NP/PA) provides STAR Kids Members with initial and ongoing assistance by identifying, selecting, obtaining, coordinating, and using Covered Services and other supports to enhance the Member's well-being,...

  • Senior LTSS Service Care Manager

    4 weeks ago

    Austin, TX, United States Superior HealthPlan 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:Performs care management duties to assess and...

  • LTSS Service Care Manager

    4 weeks ago

    Afton, TX, United States Superior HealthPlan 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. Hiring licensed Behavioral Health professionals - LPC, LCSW, or RN...

  • LTSS Service Care Manager

    2 months ago

    Topeka, KS, United States Sunflower Health Plan 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 requires visits in field. Areas include Southern, Southeast,...

  • Care Coordinator II

    3 months ago

    Ash Fork, United States Arizona 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: Supports care management activities and the teams...

  • Social Worker

    3 weeks ago

    Blue Ash, United States Favorite Healthcare Staffing Full time

    A home health company located in Blue Ash, OH is currently seeking qualified Social Workers to join their team full-time! Check out the details below:Title: Clinical Social Worker - LCSWJob Type: Permanent / Direct HireSetting: Home HealthLocation: Blue Ash, OHSchedule: Full-time, Mon – Fri, 8a – 4:30pPay: Salary based on experience plus full benefitsJOB...

  • Social Worker

    3 weeks ago

    Blue Ash, United States Favorite Healthcare Staffing Full time

    A home health company located in Blue Ash, OH is currently seeking qualified Social Workers to join their team full-time! Check out the details below:Title: Clinical Social Worker - LCSWJob Type: Permanent / Direct HireSetting: Home HealthLocation: Blue Ash, OHSchedule: Full-time, Mon – Fri, 8a – 4:30pPay: Salary based on experience plus full benefitsJOB...

  • LTSS Service Care Manager

    4 weeks ago

    Fort Sam Houston, TX, United States Superior HealthPlan 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. Licensed Behavioral Health professionals - LPC, LCSW, or RN with...

  • LTSS Care Navigator

    2 weeks ago

    Urbandale, IA, 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. This is a hybrid position. Multiple positions are available. All...

  • LTSS Care Navigator

    2 months ago

    Sioux City, IA, 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. This is a hybrid position. Multiple positions are available. All...

Lead LTSS Service Care Manager

2 months ago

Ash Fork AZ United States Arizona 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 Arizona. This position will require member visits.

Position Purpose:
Oversees the long-term care plans / service plans and care management activities to enable quality, cost effective healthcare outcomes. Reviews and provides expert knowledge to inform personalized care plans / service plans as appropriate/required for long-term care members and provides guidance and/or support to the care management team.

  • Oversees and reviews ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed for long-term care
  • Provides insight and guidance on developing care plans / service plans and triaging issues to appropriate healthcare providers for complex care plans / service plans
  • Provides guidance and expert knowledge as appropriate to team members to ensure quality control over work, members are receiving needed care or services, and adherence to contract policies and procedures
  • Monitors complex care plans / service plans and/or member status and outcomes or changes in condition, and revises care plan / service plan based on member needs and issues identified
  • Partners and collaborates with healthcare providers as appropriate to facilitate member's treatments to ensure member service / care needs are met and determine a revised care plan / service plan for member if needed
  • Provides subject matter expertise insights for complex long-term care plans / service plans based on prior experience to recommend enhanced member care within the care management plan
  • Works with senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns
  • May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners
  • Reviews member data to identify health risks and/or care gaps, partner and collaborate with providers / specialists as appropriate to facilitate member’s services and address member’s needs/issues
  • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines
  • Works as a subject matter expert (SME) and provides training and education to care management team and/or providers to ensure members are receiving high quality care and information regarding treatment plan options, procedures, referrals, and healthcare benefits
  • Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner
  • 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 5 – 7 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 Licensure required

Pay Range: $40.20 - $74.51 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.