Carolina Complete Health

Compensation

Full Description

Job Title: LTSS Service Care Manager Company Overview: Carolina Complete Health is a leading healthcare organization dedicated to improving the lives of our members through innovative and compassionate care. As part of the Centene family, we serve over 28 million members nationwide, focusing on transforming community health with a commitment to quality and accessibility. Role Overview: As an LTSS Service Care Manager, you will play a pivotal role in managing long-term services and supports for our members. Your work will ensure that individuals receive personalized care plans that promote independence and improve their quality of life. What You'll Do: - You will assess member needs and develop comprehensive care plans tailored to individual requirements. - You will coordinate with healthcare providers, community resources, and families to ensure seamless service delivery. - You will monitor member progress and adjust care plans as necessary to meet changing needs. - You will advocate for members to access appropriate services and supports. - You will maintain accurate and timely documentation in compliance with regulatory standards. - You will collaborate with interdisciplinary teams to enhance care quality and outcomes. - You will educate members and caregivers about available resources and support options. - You will participate in quality improvement initiatives to advance service effectiveness. What You Bring: - Minimum of 3 years experience in case management or care coordination, preferably in LTSS or related healthcare fields. - Strong knowledge of long-term services and supports programs and regulations. - Excellent communication and interpersonal skills to engage effectively with members and providers. - Ability to manage multiple cases and prioritize tasks in a fast-paced environment. - Proficiency with electronic health records and care management software. Bonus Points If You Have: - Certification in Case Management (CCM) or related credentials. - Experience working within Medicaid or Medicare programs. - Background in social work, nursing, or related healthcare disciplines. - Bilingual abilities to support diverse member populations. What We Offer: - We offer competitive salary and comprehensive benefits including health, dental, and vision coverage. - We offer flexible work arrangements to support work-life balance. - We offer opportunities for professional development and career growth. - We offer a supportive and inclusive work environment committed to diversity. - We offer employee wellness programs and community engagement initiatives. Ready to Apply? To join our team and make a meaningful impact, please submit your resume and cover letter through our online application portal at CarolinaCompleteHealth.com/careers.