LTSS Service Care Manager

PA Health & Wellness; Pennsylvania; Hybrid; USD 37,000 - 67,000; Full time

Job summary

Centene is seeking a Care Manager to assist in developing, assessing, and coordinating holistic care management activities to support quality, cost-effective healthcare outcomes for long-term care members.

The role requires remote work with approximately 50% travel to nursing facilities and Pennsylvania residency is required, with a preference for candidates near Allegheny and surrounding northern counties. Previous assessment experience and CHC familiarity are preferred.

Qualifications

• Requires a Bachelor's degree and 2–4 years of related experience.
• Experience with Community Health Choices (CHC) strongly preferred.
• Previous assessment experience in care management.
• Willingness to travel approximately 50% to nursing facilities.

Responsibilities

• Evaluates member needs, resources, and recommends/facilitates the care plan for outcomes.
• Develops ongoing long-term care plans and coordinates with providers and community resources.
• Coordinates between member/family/caregivers and care team to ensure service accessibility.
• Provides resource support for employment, housing, independent living, and other needs.
• Monitors care plans, member status, and outcomes; offers recommendations for improvements.
• Interacts with long-term care providers and partners to meet needs.
• Collects and maintains member information for regulatory compliance.
• May conduct home/site visits to assess needs and collaborate with providers.
• Provides education to members and families on procedures, options, and benefits.
• Gives feedback to leadership to improve quality and cost-effectiveness.

Skills

Care coordination

Assessment experience

CHC knowledge

Remote work flexibility

Education

Bachelor's degree

2-4 years related experience

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: Position requires remote work, plus approximately 50% travel to nursing facilities. Candidate must reside in Pennsylvania. Prefer candidate residing in/near Allegheny or surrounding northern counties (Armstrong, Beaver, Butler, West Moreland). Previous assessment experience and experience with Community Health Choices (CHC) strongly preferred.

• 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 meaning 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