As a Supervisor, LTSS Clinical Care Management at Centene Management Company LLC, you will lead the care coordination team serving long-term care members with complex medical and behavioral health needs. Your work is central to promoting the quality and effectiveness of our care management delivery. This is a remote position requiring residency in Delaware, with up to 40% field-based work.
What You'll Do
- Supervise day-to-day escalations and care management issues related to members or providers.
- Monitor and review long-term care management documentation to ensure compliance with federal and state regulations and contracts.
- Assign caseloads and work assignments based on state requirements, staff experience, and member needs.
- Work with senior management on escalated, complex cases and provide guidance to junior team members.
- Educate and provide resources for the care management team on key initiatives and member outreach.
- Evaluate team performance and provide feedback on goals and career milestones.
- Provide coaching and guidance to the care management team and providers to ensure high-quality member care.
- Monitor reports regularly to ensure quality and productivity metrics are met.
- May perform telephonic, digital, home, or other site outreach to assess member needs and collaborate with resources.
- Assist with onboarding, hiring, and training of long-term care management team members.
- Lead and champion change within your scope of responsibility.
What We're Looking For
- Must reside in the state of Delaware.
- For positions overseeing RN team members: Graduate from an Accredited School of Nursing or a Bachelor's degree and 4+ years of related experience.
- For positions overseeing RN team members: Current state's Registered Nurse (RN) license required upon hire.
- For positions overseeing BH team members: Master's degree or Graduate from an Accredited School of Nursing and 4+ years of related experience.
- For positions overseeing BH team members: Licensed Clinical Behavioral Health Professional or RN based on state contract requirements (e.g., LCSW, LMSW, LMFT, LMHC, RN with BH experience) required upon hire.
Nice to Have
- Highly advanced clinical knowledge and ability to assess member needs in context of relevant diagnoses, treatment plans, and goals.
- Ability to identify potential gaps in care or risks for readmission or complications.
- Strong knowledge of healthcare managed care principles.
- Experience working with providers and healthcare teams to develop appropriate long-term care plans.
- Strong knowledge of medication indications and side effects and/or knowledge of behavioral health care management principles.
Team & Environment
You will supervise the care coordination team.
Benefits & Compensation
- Salary range: $85,300.00 - $158,100.00 per year
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field, or office schedules
Work Mode
This is a remote position based in Delaware, requiring up to 40% field-based work.
Centene is an equal opportunity employer committed to diversity. 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 protected characteristics.
