Senior LTSS Service Care Manager (RN)

About This Role

The Senior LTSS Service Care Manager RN performs care management duties to assess and coordinate medical and supporting services for complex/high acuity populations. This role is ideal for experienced RNs looking to make a meaningful impact in long-term care.

Highlights

• Pay: $36 - $65/hour
• Location: Remote, US
• Schedule: Full Time, Day shift

What You'll Do

• Evaluate the service needs of complex or high-risk members and recommend a plan for the best outcome.
• Develop and continuously assess ongoing long-term care plans/service plans.
• Collaborate with the care management team to identify providers and community resources.
• Coordinate and manage care between members, families, and care providers.
• Monitor care plans and member status, revising as necessary.
• Review member data to identify trends and improve quality care.
• Develop appropriate care plans based on referrals and intake assessments.
• Collaborate with healthcare providers to facilitate member services.
• Document and maintain member information to ensure compliance with guidelines.
• Educate long-term care members and their families on care options and benefits.

Requirements

• Graduate from an Accredited School of Nursing or Bachelor's degree preferred.
• 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.
• Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules

About Centene

Centene is a leading healthcare provider committed to delivering exceptional patient care. They connect people to the care they need to live healthier lives, making a real impact every day through meaningful challenges and a dedicated team.