LTSS Service Care Manager

Centene Management Company LLC; North Carolina; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K

Tuition reimbursement

Paid time off

Flexible work options

Job summary

Centene Management Company LLC in North Carolina seeks a field-based Care Manager to assess member needs and coordinate long-term care plans with families and providers, ensuring quality and cost-effective outcomes.

The ideal candidate holds an NC LCSW or RN license, a bachelor’s degree, and 2–4 years of LTSS/HCBS coordination or case management experience, with strong assessment and communication skills.

Qualifications

• Bachelor’s degree with 2–4 years of related experience, or equivalent combination.
• Licensed clinician: NC LCSW or RN required.
• Experience in LTSS/HCBS coordination or case management preferred.

Responsibilities

• Evaluate member needs and available resources; plan for best outcomes.
• Develop long-term care plans and identify providers and community resources.
• Coordinate between members, families, caregivers and care team for access to services.
• Provide resource support on employment, housing, and living arrangements.
• Monitor plans and member status; adjust care plans as needed.
• Collaborate with healthcare providers to meet member needs.

Skills

Assessment skills

Change management

LTSS coordination

HCBS coordination

Customer service

Communication skills

Education

Bachelor’s degree in health, human, social work or education services

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

This is a field-based position, and applicants must reside in Alexander, Anson, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, Union, Davie, Davidson, Yadkin, or Wilkes County, North Carolina. Candidates must hold one of the following required licenses or certifications: NC LCSW (Licensed Clinical Social Worker) or RN (Registered Nurse). Candidates with technological proficiency, excellent customer service and communication skills, strong assessment skills, change management experience, and LTSS and/or HCBS coordination experience are preferred.

Responsibilities

• 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 Individuals with a Bachelor’s degree in health, human, social work or education services with one or more years of qualifying experience; or a high school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, or persons with physical or developmental disabilities, or HIV/AIDS population.

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 North Carolina Standard 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 required.

Pay Range

$27.02 - $48.55 per hour

About Centene

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
• 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.

Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email [e-mail]. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.