LTSS Service Care Manager

Carolina Complete Health; Greensboro (NC); On-site; Full time

Job summary

A leading health organization is seeking an LTSS Service Care Manager in Greensboro, NC. The role involves developing and coordinating care plans for long-term care members, requiring a Bachelor's degree and relevant experience. Ideal candidates will be Registered Nurses or Licensed Clinical Social Workers, with a focus on field-based care and case management.

Benefits

Health Insurance

401K and Stock Purchase Plans

Tuition Reimbursement

Paid Time Off plus Holidays

Flexible Work Schedules

Qualifications

• Requires a Bachelor's degree and 2-4 years of related experience.
• RN or LCSW / LCSW-A preferred.
• Two years of prior LTSS and/or HCBS coordination experience.

Responsibilities

• Develop and coordinate holistic care management activities.
• Evaluate member needs and recommend care plans.
• Monitor care plans and provide resource support.

Skills

Case Management

Physical Health

Field-Based Care

Education

Bachelor's Degree

Job description

Join to apply for the LTSS Service Care Manager role at Carolina Complete Health.

Centene is hiring! We are seeking a LTSS Service Care Manager to join our Carolina Complete Health team. The ideal candidate will be a Registered Nurse (RN) or hold a license as a Licensed Clinical Social Worker (LCSW or LCSW-A), with experience in physical health, case management, and/or field-based care. This role requires 80% field work, visiting members in their homes or care facilities to provide hands-on support and coordination in Greensboro and surrounding areas.

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 outcome
• Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialists, 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 members' 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
• Ensures compliance with all policies and standards

Education/Experience:

Requires a Bachelor's degree and 2-4 years of related experience or equivalent knowledge, duties, scope, and skill reflective of this position.

License/Certification:

• For North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience; prior experience with social work, geriatrics, gerontology, pediatrics, or human services.
• RN or LCSW / LCSW-A preferred

Pay Range: $26.50 - $47.59 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 flexible work schedules (remote, hybrid, field, or office). Actual pay will be based on skills, experience, education, and other factors. Total compensation may include additional incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.