LTSS Service Care Manager at Centene Corporation Newark, NJ

Hong Kong Study Skills Research Institute; Newark (NJ); Hybrid; USD 55,000 - 85,000; Full time

Benefits offered by this job

Health insurance

401(k)

Tuition reimbursement

Paid time off

Flexible work schedules

Job summary

Centene Corporation is seeking an LTSS Service Care Manager in Newark, NJ, to assess and coordinate long-term care services for members. This role will involve working closely with families and healthcare providers to develop tailored service plans.

The ideal candidate will possess a Bachelor's degree, experience in care management, and strong communication skills. Centene offers a competitive pay range of $26.50 - $47.59 per hour along with comprehensive benefits.

Qualifications

• 2-4 years of related experience required.
• Ability to coordinate with healthcare providers and families.
• Experience in developing care plans.

Responsibilities

• Evaluate member needs and recommend plans.
• Assist in developing ongoing care plans.
• Document and maintain member information.
• Monitor care plans and member outcomes.

Skills

Care management

Assessment skills

Coordination

Communication

Education

Bachelor's degree

RN license

Job description

LTSS Service Care Manager

LTSS Service Care Manager job at Centene Corporation. Newark, NJ. You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

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.

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.
• RN license highly preferred.
• Candidate must reside within the state of Delaware, as this is a field‑based role.

Pay Range

$26.50 - $47.59 per hour

Benefits

Centene offers a comprehensive benefits package including: competitive pay; health insurance; 401(k) 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.