LTSS Service Care Manager
Company: Carolina Complete Health
Location: Greenville
Posted on: July 8, 2025
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Job Description:
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, Rocky Mount , LTSS Service Care Manager, Social Services , Greenville, North Carolina