RN, LTSS Service Care Manager - IDD Waiver

About the job

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.

Key Details: This Care Manager role assess the medical and psychosocial needs of our adult members (21 or older) meeting the criteria of the Aged, Blind, and Disabled population (ABD) and coordinates their services through the Texas IDD Waiver program. Candidates with 2+ years of Case Mgt experience working with people with IDD or a related condition and holds an active license as a LBSW, LPC, LMHC, LCSW, or a RN will be considered for the position. Registered Nurses with 2+ years of Behavioral Health/IDD experience is highly preferred.

Service Delivery Area(s): Abilene, TX and surrounding areas near Baird, TX, Breckenridge, TX, Colorado City, TX, Eastland, TX, Haskell, TX, Synder, TX, San Angelo, TX, Seymour, TX, or Taylor County, TX. There may be occasional overnight travel, for members residing in areas outside a 120+ miles radius. Weekly mileage is reimbursed, and when needed, overnight stays for lodging, and transportation is reimbursed.

• 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
• Travel is required for member visits

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.

Preferred Candidate Education/Experience:

• 3+ years of experience working with people with IDD or a related condition and Graduate of an Accredited Nursing School, or degree in OT, PT, ST, Audiology, Social Work, Recreation or Art, Dance, Music, PE, Dietetics, Human Services – Sociology, Special Education, Rehab Counseling, or Psychology. RN - associate or bachelor's degree highly preferred.
• 2+ years of Case Management or Care Coordination experience, managing the needs of people living as ABD, with IDD, or a related physical or behavioral health conditions
• Experience interviewing and assessing member needs; applicable Knowledge and experience in case management practices and procedures
• The ability to effectively solve problems and locate community resources
• The ability to collaborate with caregivers, involved State agency representatives and providers
• Strong communication and interpersonal skills
• Ability to practice Cultural Competency with awareness and respect for diversity
• Knowledge of the needs and service delivery system for all populations in the case manager’s caseload.

Pay Range: $27.02 - $48.55 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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