Remote LTSS Clinical Care Director - Impact & Growth

Centene

Indiana

Remote

USD 146,000 - 270,000

Full time

7 days ago
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Benefits offered by this job

Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible work schedules (remote,hybrid

Job summary

Centene seeks a Senior Director of LTSS Clinical Care Management to lead long-term care management for members with physical, medical, and behavioral health needs. This remote Indiana-based role drives vision, oversees staff, and ensures NCQA-compliant reporting and performance improvements.

Ideal candidate has 10+ years in care management, 5+ years in leadership, and an RN license or equivalent licensure. Relocation to Indiana may be required for some teams.

Qualifications

  • Graduate from an Accredited School of Nursing or Bachelor’s degree required.
  • Master’s degree preferred for positions overseeing BH team members.
  • 10+ years of related experience required.
  • 5+ years management experience preferred.
  • Current state RN license preferred, OR equivalent licensure per state contract (e.g., LCSW, LMSW, LMFT, LMHC).

Responsibilities

  • Provide oversight and leadership to the long-term care management process.
  • Develop and communicate a vision and direction for the department.
  • Oversee work assignments and caseloads of long-term care management staff.
  • Monitor and sign off on contract required reporting.
  • Ensure compliance with corporate, state, and NCQA standards.
  • Attend conferences to stay updated on trends in Payer Care Management.
  • Lead and coordinate large or special project work.
  • Provide subject matter expert guidance to senior leadership.
  • Review long-term care member data to identify trends and improve performance.
  • Engage in onboarding, hiring, and training of new team members.

Education

Bachelor's degree required
Registered Nurse (RN) license preferred

Job description

Centene seeks a Senior Director of LTSS Clinical Care Management to lead long-term care management for members with physical, medical, and behavioral health needs. This remote Indiana-based role drives vision, oversees staff, and ensures NCQA-compliant reporting and performance improvements.

Ideal candidate has 10+ years in care management, 5+ years in leadership, and an RN license or equivalent licensure. Relocation to Indiana may be required for some teams.

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