Senior RN Care Manager: LTSS & Home Care (Hybrid)

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

Job summary

Centene is seeking an RN Care Manager for a hybrid role based in Hidalgo County, TX. The position supports Duals AIP adult members with complex medical needs and requires visiting members at home.

You will coordinate LTSS needs, schedule visits from a home office, and work a Monday–Friday schedule 8:00 AM–5:00 PM CST, with no on-call duties. Requires RN license and 4–6 years of clinical nursing experience; BSN preferred.

Qualifications

• Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience.
• Bachelor's degree in nursing (BSN) is preferred.

Responsibilities

• Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan.
• Develops and continuously assesses long-term care plans and collaborates with care management team to identify providers and resources.
• Coordinates between member/family and care team to ensure appropriate person-centered care.
• Monitors care plans and updates to meet goals; revise as necessary.
• Educates members and families on disease processes, care options and benefits.
• Acts as liaison between member, family, physician and facilities.

Skills

Care management

Nursing

Clinical documentation

Communication

Time management

Problem solving

Team coordination

Education

Bachelor of Science in Nursing (BSN) preferred

Graduate from Accredited School of Nursing

Job description

Centene is seeking an RN Care Manager for a hybrid role based in Hidalgo County, TX. The position supports Duals AIP adult members with complex medical needs and requires visiting members at home.

You will coordinate LTSS needs, schedule visits from a home office, and work a Monday–Friday schedule 8:00 AM–5:00 PM CST, with no on-call duties. Requires RN license and 4–6 years of clinical nursing experience; BSN preferred.