LTSS Service Care Manager

Centene Corporation; Iowa; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock plans

Tuition reimbursement

Paid time off & holidays

Flexible work schedule

Job summary

Centene Corporation seeks a care management professional to assist in developing and coordinating holistic care plans for long-term care members across Iowa. The hybrid role includes remote work with in-person visits to members four days per week, serving Carroll, Guthrie, Audubon and Cass counties.

The role requires a Bachelor’s degree and 2–4 years of related experience; Iowa specifics include RN option with 6+ years as an alternative.

Qualifications

• Bachelor's degree and 2–4 years related experience.
• For Iowa: Bachelor's degree with 2+ years or RN with 6+ years in population served.
• Experience interviewing and assessing member needs.
• Knowledge of caseload management and casework practices.
• Ability to collaborate with caregivers and state agency representatives.

Responsibilities

• Evaluate member needs and resources to plan best outcomes.
• Develop long-term care plans and identify providers and resources.
• Coordinate between member/family and care team for accessibility.
• Provide resource support for housing, employment, independent living, etc.
• Monitor plans and outcomes and adjust as needed.
• Interact with long-term care providers and partners.
• Collect and maintain member information to ensure regulatory compliance.
• Perform home visits to assess needs.
• Educate members and families on procedures and benefits.
• Provide feedback to leadership to improve quality and cost-effectiveness.
• Other duties as assigned.
• Complies with policies and standards.

Skills

Interpersonal skills

Cultural competency

Collaboration

Problem solving

Communication skills

Education

Bachelor's degree

RN license

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: Service Area Includes Carroll, Guthrie, Audubon and Cass Counties in Iowa. Hybrid Role, Remote with in person visits to members 4 days per week. Monday - Friday, 8AM to 5PM.

• 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.
For Iowa Only: Bachelor's degree and 2+ years of experience with populations served; or RN with 6+ years of experience with population served.
Experience: Experience interviewing and assessing member needs; Knowledge and experience regarding caseload management and casework practices; Knowledge regarding determining eligibility for DHSS programs; Knowledge regarding Federal and State law as it applies to DHSS programs; The ability to effectively solve problems and locate community resources; The ability to collaborate with caregivers, involved State agency representatives and providers; Good interpersonal skills; Ability to practice Cultural Competency with awareness and respect for diversity; and Knowledge of the needs and service delivery system for all populations in the case manager's caseload.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

License/Certification:

• For Iowa Only: Bachelor's degree required and 2+ years of experience with populations served OR RN with 6+ years of experience with population served.

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