Pediatric LTSS Care Manager RN | Hybrid/In-Home

Superior HealthPlan; Abilene (TX); Hybrid; USD 50,000 - 90,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Flexible work schedule

Job summary

Centene seeks a skilled care manager to assess and coordinate medical and support services for complex/high acuity members in a hybrid Abilene area role. You will build personalized care plans, address gaps, and educate families on benefits and options to achieve optimal, cost-effective outcomes.

The position emphasizes collaboration with caregivers and providers, ongoing monitoring, and adherence to state and clinical guidelines, with a focus on high-quality, person-centered care.

Qualifications

• Graduate from an Accredited School of Nursing or a Bachelor's degree with 4–6 years of related experience.
• RN license in state or compact state required; NP licensure may be required depending on role.
• Utilization Group (RUG) certification must be obtained within 90 days of hire.

Responsibilities

• Performs care management duties to assess and coordinate services for complex/high acuity members.
• Develops personalized care/service plans for long-term care members and educates families/caregivers.
• Coordinates between member, family/caregivers, and care provider team for person-centered care.
• Monitors care plans and changes in condition, revising goals as needed.
• Reviews referrals and assessments to develop appropriate care plans.
• Provides education on disease processes and coordinates community resources.

Skills

Care coordination

Patient advocacy

Education & counseling

Collaboration with providers

Assessment & planning

Education

Graduate from an Accredited School of Nursing

Bachelor's degree in Nursing

Job description

Centene seeks a skilled care manager to assess and coordinate medical and support services for complex/high acuity members in a hybrid Abilene area role. You will build personalized care plans, address gaps, and educate families on benefits and options to achieve optimal, cost-effective outcomes.

The position emphasizes collaboration with caregivers and providers, ongoing monitoring, and adherence to state and clinical guidelines, with a focus on high-quality, person-centered care.