(Only 24h Left) LTSS Service Care Manager
Company: Carolina Complete Health
Location: Greenville
Posted on: June 25, 2025
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Job Description:
You could be the one who changes everything for our 28 million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, national organization, you’ll
have access to competitive benefits including a fresh perspective
on workplace flexibility. Centene is hiring! We are seeking two
LTSS Service Care Manager to join our Carolina Complete Health
team. The ideal candidate will be a Registered Nurse (RN) or hold a
license as a Licensed Clinical Social Worker (LCSW or LCSW-A), with
experience in physical health, case management, and/or field-based
care. This role requires 80% field work, visiting members in their
homes or care facilities to provide hands-on support and
coordination in Greenville and surrounding areas. Position Purpose:
Assists in developing, assessing, and coordinating holistic care
management activities to enable quality, cost-effective healthcare
outcomes. May develop or assist with developing personalized
service care plans/service plans for long-term care members and
educates members and their families/caregivers on services and
benefits available to meet member needs. - Evaluates the needs of
the member, the resources available, and recommends and/or
facilitates the plan for the best outcome - Assists with developing
ongoing long-term care plans/service plans and works to identify
providers, specialist, and/or community resources needed for
long-term care - Coordinates as appropriate between the member
and/or family/caregivers and the care provider team to ensure
identified services are accessible to members - Provides resource
support to members and their families/caregivers for various needs
(e.g. employment, housing, participant direction, independent
living, justice, foster care) based on service assessment and plans
- Monitors care plans/service plans, member status and outcomes, as
appropriate, and provides recommendations to care plan/service plan
based on identified member needs - Interacts with long-term care
healthcare providers and partners as appropriate to ensure member
needs are met - Collects, documents, and maintains long-term care
member information and care management activities to ensure
compliance with current state, federal, and third-party payer
regulators - May perform home and/or other site visits to assess
member’s needs and collaborate with healthcare providers and
partners - Provides and/or facilitates education to long-term care
members and their families/caregivers on procedures, healthcare
provider instructions, service options, referrals, and healthcare
benefits - Provides feedback to leadership on opportunities to
improve and enhance quality of care and service delivery for
long-term care members in a cost-effective manner - Performs other
duties as assigned - Complies with all policies and standards
Education/Experience: Requires a Bachelor's degree and 2 – 4 years
of related experience. Or equivalent experience acquired through
accomplishments of applicable knowledge, duties, scope and skill
reflective of the level of this position. License/Certification: -
For North Carolina Tailored Plan: Two (2) years of prior LTSS
and/or HCBS coordination, care delivery monitoring and care
management experience; Prior experience with social work,
geriatrics, gerontology, pediatrics, or human services. - RN or
LCSW / LCSW-A preferred Pay Range: $26.50 - $47.59 per hour Centene
offers a comprehensive benefits package including: competitive pay,
health insurance, 401K and stock purchase plans, tuition
reimbursement, paid time off plus holidays, and a flexible approach
to work with remote, hybrid, field or office work schedules. Actual
pay will be adjusted based on an individual's skills, experience,
education, and other job-related factors permitted by law. Total
compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to
diversity, and values the ways in which we are different. All
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, veteran status, or
other characteristic protected by applicable law. Qualified
applicants with arrest or conviction records will be considered in
accordance with the LA County Ordinance and the California Fair
Chance Act
Keywords: Carolina Complete Health, Greenville , (Only 24h Left) LTSS Service Care Manager, Social Services , Greenville, North Carolina