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Target Start: August 24, 2026
Work Arrangement: 80% Field work/home visits with 20% remote
Schedule: Monday–Friday, 8:00 AM–5:00 PM EST

Position Overview

We are seeking LTSS Service Care Managers to support healthcare members with Long-Term Services and Supports (LTSS) needs. This is a member-facing care management position responsible for managing a caseload, conducting assessments, coordinating services, developing care plans, and ensuring members receive appropriate and uninterrupted care.

The role is primarily remote but requires approximately 80% travel for in-person member visits, with 1–4 visits per day depending on travel distance. Candidates must have a valid driver's license and be comfortable working in the field.

Key Responsibilities

• Manage a caseload of healthcare members with LTSS needs.
• Conduct monthly and quarterly member contacts through in-person and telephonic interactions.
• Complete member assessments and document findings in electronic medical records.
• Assess members, caregivers, and providers to understand member status, support systems, and service needs.
• Develop and update individualized care plans.
• Monitor the delivery of services and follow up with members, caregivers, and providers.
• Identify gaps in services and functional deficiencies within care plans.
• Authorize and coordinate referrals for appropriate services.
• Coordinate informal and voluntary support services as part of the member's care plan.
• Collaborate with discharge planners, physicians, and other healthcare professionals.
• Coordinate acute care and long-term care services.
• Assist members with filing and resolving complaints and appeals.

Required Qualifications

• Bachelor's degree required.
• RN and/or LCSW/LCSW-A/BSN/ADN qualification.
• 2–4+ years of physical healthcare management experience.
• Case management and care planning experience.
• Valid driver's license.
• Experience with electronic medical records.
• Strong Microsoft Office and technology skills.
• 4–6+ years of physical healthcare management experience.
• Hospital case management.
• Home health.
• Discharge planning.
• Long-term care.
• Community health/member-facing experience.
• Utilization management.
• Bedside care management.

Work & Travel Expectations

• Remote administrative work 1–2 days per week.
• Field/member visits 3–4 days per week.
• Approximately 80% travel.
• Up to 2.5 hours one-way from the candidate's home residence for face-to-face member visits.
• Mileage and lodging, when needed, are reimbursed.
• Candidates should reside in Pitt County, NC for this opening.
• Quarterly team meetings/training may be held at Centene offices in Raleigh or Charlotte.

Training

• 3.5-week training
• Monday–Friday, 8:00 AM–5:00 PM EST
• Camera on during training
• No time off during training
• Candidates must be available for the entire training period.

Interview Process

• Microsoft Teams interview
• Camera on

Required Qualifications

• Bachelor's degree required.
• RN and/or LCSW/LCSW-A/BSN/ADN qualification.
• 2–4+ years of physical healthcare management experience.
• Case management and care planning experience.
• Valid driver's license.
• Experience with electronic medical records.
• Strong Microsoft Office and technology skills.
• 4–6+ years of physical healthcare management experience.
• Hospital case management.
• Home health.
• Discharge planning.
• Long-term care.
• Community health/member-facing experience.
• Utilization management.
• Bedside care management.

Important Candidate Requirements

This position is specifically seeking candidates with physical healthcare/case management backgrounds. Candidates whose experience is limited to psychiatric counseling or behavioral health are not appropriate for this role. Candidates who are right out of nursing school, have only nursing-home experience, or have only rehabilitation experience should not be submitted.

Work & Travel Expectations

• Remote administrative work 1–2 days per week.
• Field/member visits 3–4 days per week.
• Approximately 80% travel.
• Up to 2.5 hours one-way from the candidate's home residence for face-to-face member visits.
• Mileage and lodging, when needed, are reimbursed.
• Candidates should reside in Pitt County, NC for this opening.
• Quarterly team meetings/training may be held at Centene offices in Raleigh or Charlotte.