LTSS Service Care Manager

Centene Corporation; Anthony (KS); Hybrid; USD 37,000 - 67,000; Full time

Job summary

Centene Corporation in Kansas seeks a Care Management professional to assist in developing, assessing, and coordinating holistic care plans for long-term care members. The role includes educating members and families, coordinating with providers, and ensuring compliant service delivery.

Remote work is possible with up to 50% local travel to visit members; schedule is M-F 8a-5p Central. Benefits include equipment provided and mileage reimbursement; pay ranges from $27.02 to $48.55 per hour based

Qualifications

• Proven ability to coordinate care plans and resources.
• Experience in long-term care or care management is preferred.
• Knowledge of applicable state and federal regulations.

Responsibilities

• Evaluates member needs, available resources, and facilitates the best care plan.
• Develops long-term care/service plans and identifies providers and community resources.
• Coordinates between members/families and care teams to ensure service access.
• Provides resource support for employment, housing, and independent living needs.
• Monitors plans and outcomes, recommending improvements as needed.
• Interacts with care providers to meet member needs.
• Documents member information to ensure regulatory compliance.
• May conduct home or site visits to assess needs and collaborate with providers.
• Educates members and families on procedures, services, and benefits.
• Provides feedback to leadership to improve quality and cost-effectiveness.
• Performs other duties and complies with policies and standards.

Skills

Care coordination

Member education

Resource coordination

Regulatory compliance

Education

Bachelor's degree

Job description

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.
Key Details: Applicants for this position must reside in Sedgwick County or surrounding areas as the role requires up to 50% local travel to visit members. Candidates have the flexibility to work remotely from their home the remaining time. We provide all required equipment and reimburse for mileage at the current IRS rate. The schedule is Monday - Friday, 8am - 5pm Central.

• 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.
Pay Range: $27.02 - $48.55 per hour
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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