LTSS Service Care Manager

Centene Management Company LLC; Pennsylvania; Hybrid; USD 37,000 - 68,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off & holidays

Flexible work arrangements

Job summary

Centene Management Company LLC is seeking a remote care management professional based in Pennsylvania who will develop, assess, and coordinate holistic long-term care plans. This role involves about 50% travel to nursing facilities and requires a Bachelor’s degree with 2–4 years of related experience.

The position emphasizes educating members and families on available services and benefits, coordinating with providers, and ensuring regulatory compliance through documentation and ongoing plan

Qualifications

• Requires a Bachelor’s degree and 2–4 years of related experience.
• Experience with long-term care and community health programs preferred.
• Strong communication and coordination skills across care teams.

Responsibilities

• Assesses member needs and coordinates the care plan.
• Develops long-term care plans and connects providers and resources.
• Educates members and families about services and benefits.
• Documents and tracks member information and outcomes for compliance.
• Conducts home or site visits to assess needs and collaborate with providers.
• Supports care coordination and education to improve quality and cost-effectiveness.

Skills

Assessment experience

Care coordination

Member education

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

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

About the Company

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.

Benefits

• 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.

Equal Opportunity Employer

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.