Manager leading LTSS Clinical Care Management team at Centene, overseeing licensed clinicians serving long-term care members. Focus on high-quality healthcare outcomes and compliance with regulations.
Responsibilities
Manage a team of RNs, Social Workers, and Support Staff
Oversees care management issues related to members or providers
Develops, implements, and oversees long-term care management policies
Reviews long-term care management required documentation
Manage escalated and complex care cases
Ensures proper coordination and communication of medical service functions
Sets goals and objectives for long-term care management team
Monitors audits within care management for compliance
Requirements
Graduate from an Accredited School of Nursing or a Bachelor's degree
5+ years of related experience
2+ years of People Leader experience preferred
Highly advanced clinical knowledge
Strong knowledge of healthcare managed care principles
Experience working with providers and healthcare teams
current state's Registered Nurse (RN) license required
Resource Utilization Group (RUG) certification must be obtained within 90 days of hire
Benefits
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
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