Senior LTSS Service Care Manager
4 weeks ago
Transform the health of our communities, one person at a time, as a Care Manager for Long-Term Services and Supports. At Superior HealthPlan, we're committed to diversity and values the ways in which we are different. As a Care Manager, you'll play a critical role in assessing and coordinating medical and supporting services for complex populations, promoting quality and cost-effective care.
Key Responsibilities:
- Evaluate the service needs of high-risk members and develop personalized care plans to ensure the best outcomes.
- Collaborate with care management teams to identify providers, specialists, and community resources needed to address member needs.
- Coordinate and manage care between members, caregivers, and providers to ensure person-centered care.
- Monitor member status, progress towards care plan goals, and revise plans as necessary.
- Review member data to identify trends and improve operating performance and quality care.
- Collaborate with healthcare providers to facilitate member services and determine revised care plans if needed.
- Collect, document, and maintain member information and care management activities to ensure compliance with state and federal regulations.
- Provide education to members and caregivers on disease processes, resolving care gaps, and healthcare benefits.
- Act as a liaison and member advocate between members, physicians, and facilities/agencies.
Requirements:
- Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience.
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required.
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.
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