LTSS SERVICE CARE MANAGER
Company: Centene Corporation
Location: San Antonio
Posted on: October 9, 2024
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Job Description:
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.Evaluates the needs of the member, the resources
available, and recommends and/or facilitates the plan for the best
outcomeAssists with developing ongoing long-term care plans/service
plans and works to identify providers, specialist, and/or community
resources needed for long-term careCoordinates as appropriate
between the member and/or family/caregivers and the care provider
team to ensure identified services are accessible to
membersProvides 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 plansMonitors care plans/service
plans, member status and outcomes, as appropriate, and provides
recommendations to care plan/service plan based on identified
member needsInteracts with long-term care healthcare providers and
partners as appropriate to ensure member needs are metCollects,
documents, and maintains long-term care member information and care
management activities to ensure compliance with current state,
federal, and third-party payer regulatorsMay perform home and/or
other site visits to assess member's needs and collaborate with
healthcare providers and partnersProvides and/or facilitates
education to long-term care members and their families/caregivers
on procedures, healthcare provider instructions, service options,
referrals, and healthcare benefitsProvides feedback to leadership
on opportunities to improve and enhance quality of care and service
delivery for long-term care members in a cost-effective
mannerPerforms other duties as assignedComplies with all policies
and standardsEducation/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.Pay Range: $25.97 -
$46.68 per hourCentene 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.Qualified applicants with arrest or
conviction records will be considered in accordance with the LA
County Ordinance and the California Fair Chance Act
Keywords: Centene Corporation, Round Rock , LTSS SERVICE CARE MANAGER, Executive , San Antonio, Texas
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