Senior LTSS Service Care Manager RN

IntelliResume; Corpus Christi (TX); On-site; USD 50,000 - 90,000; Full time

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 is seeking a Senior LTSS Service Care Manager RN in Corpus Christi, TX. The role focuses on assessing and coordinating medical and supporting services for complex/high-acuity populations, with opportunities to impact patient care meaningfully.

You will evaluate needs, develop and monitor long-term care plans, and collaborate with the care team to ensure high-quality outcomes. This role offers a full-time schedule with various work arrangements, including remote/hybrid options.

Qualifications

• Graduate from an Accredited School of Nursing or a Bachelor's degree required.
• Bachelor's degree in Nursing preferred.
• 4–6 years of related experience required.
• RN licensure or NP license required with state nursing board.

Responsibilities

• Evaluate the service needs of complex or high-risk members and recommend a plan for the best outcome.
• Develop and continuously assess ongoing long-term care plans and collaborate with the care management team.
• Coordinate and manage communication between members, families, and care providers.
• Monitor care plans and member status, revising as necessary to meet goals.
• Review member data to identify trends and improve quality care.
• Collaborate with healthcare providers to facilitate member services and treatments.
• Collect, document, and maintain member information to ensure compliance with guidelines.
• Provide education to long-term care members and their families on care options and benefits.
• Act as a liaison and advocate for members and families.
• Engage in a collaborative process with leadership to improve quality of care.

Skills

Care coordination

Patient advocacy

Healthcare communication

Education

Accredited School of Nursing

Bachelor's degree in Nursing

Job description

About This Role

The Senior LTSS Service Care Manager RN performs care management duties to assess and coordinate medical and supporting services for complex/high acuity populations. This role is ideal for experienced RNs looking to make a meaningful impact on patient care.

Highlights

• Pay: $36.21 - $65.09 per hour
• Location: Corpus, US
• Schedule: Full Time, Day shift

What You'll Do

• Evaluate the service needs of complex or high-risk members and recommend a plan for the best outcome.
• Develop and continuously assess ongoing long-term care plans and collaborate with the care management team.
• Coordinate and manage communication between members, families, and care providers.
• Monitor care plans and member status, revising as necessary to meet goals.
• Review member data to identify trends and improve quality care.
• Collaborate with healthcare providers to facilitate member services and treatments.
• Collect, document, and maintain member information to ensure compliance with guidelines.
• Provide education to long-term care members and their families on care options and benefits.
• Act as a liaison and advocate for members and families.
• Engage in a collaborative process with leadership to improve quality of care.

Requirements

Education:

• Graduate from an Accredited School of Nursing or a Bachelor's degree required.
• Bachelor's degree in Nursing preferred.

Experience:

• 4–6 years of related experience required.

Licenses & Certifications:

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required, OR
• NP - Nurse Practitioner - Current State's Nurse Licensure required.
• Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules (remote, hybrid, field, or office)

About Centene

Centene is a leading healthcare provider committed to delivering exceptional patient care. They connect people to the care they need to live healthier lives, making a real impact every day.