LTSS Service Care Manager

Posted 4hrs ago

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Job Description

Centene LTSS Service Care Manager coordinating long-term care plans, resources, and services for Florida members. Conducting assessments, education, provider coordination, and field-based member support.

Responsibilities:

  • Assist in developing, assessing, and coordinating holistic care management activities for long-term care members
  • Develop or assist with personalized service care plans and educate members and families/caregivers on available services and benefits
  • Evaluate member needs and available resources and recommend or facilitate plans for optimal outcomes
  • Develop ongoing long-term care plans and identify providers, specialists, and community resources
  • Coordinate between members/families/caregivers and care provider teams to ensure services are accessible
  • Provide resource support for employment, housing, participant direction, independent living, justice, foster care, and other needs
  • Monitor care plans, member status, and outcomes and recommend updates based on identified needs
  • Interact with long-term care healthcare providers and partners
  • Collect, document, and maintain member information and care management activities for regulatory compliance
  • Perform home and other site visits to assess member needs and collaborate with providers and partners
  • Provide or facilitate education on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
  • Provide leadership feedback on opportunities to improve quality of care and service delivery
  • Perform other assigned duties and comply with policies and standards

Requirements:

  • Must reside in Orange or Seminole County, Florida
  • Field-based role
  • Bilingual in Spanish
  • Technologically savvy
  • Excellent communication and customer service skills
  • Long-term care expertise
  • Independent and autonomous work capability
  • Team-player capability
  • Knowledge of community-based resources and referrals
  • Problem-solving skills
  • Experience with assessments and care planning
  • Bachelor's degree and 2–4 years of related experience; or
  • Bachelor's degree in health, human, social work, or education services with one or more years of qualifying experience; or
  • High school degree or equivalent and three years of qualifying experience with case management of aged, behavioral health, physical or developmental disabilities, or HIV/AIDS populations
  • Equivalent experience acquired through applicable knowledge, duties, scope, and skill may qualify

Benefits:

  • Competitive pay
  • Health insurance
  • 401K
  • Stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field or office work schedules
  • Additional forms of incentives may be included in total compensation