Senior LTSS Service Care Manager RN
for section headings (About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)
- Use - for lists of duties/requirements/benefits
- Use
for prose
- Do NOT repeat job title as heading (the page already shows it)
- Do NOT put Job ID/requisition numbers as headings
- Preserve ALL substantive information
- Remove boilerplate (cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions)
- Include a section ONLY when posting has real, specific content for it
- Never emit heading followed by filler/placeholder text (e.g., "commensurate with experience", "not specified", "N/A", "varies", "TBD")
- Never create Pay/Schedule/Benefits sections unless posting actually states them
- Prefer few substantive sections over many thin ones
- Output ONLY HTML fragment — no /, no markdown code fences
Now, let's parse the content:
The posting starts with "Position Purpose" - this is essentially "About the role". Then "Key Details" contains a long list of duties. Then "Education/Experience" and "License/Certification" are requirements/qualifications. Then "Pay Range" is given. Then a paragraph about Centene benefits.
I need to structure this into appropriate sections.
Possible sections:
1. About the role (from Position Purpose)
2. Responsibilities (from Key Details - the bullet points)
3. Requirements (Education/Experience and License/Certification)
4. Pay (Pay Range)
5. Benefits (from the Centene paragraph)
But note: The Centene paragraph includes benefits info: "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." Also mentions "Actual pay will be adjusted based on..." but that's more about pay determination.
The rules say: never create Pay/Schedule/Benefits sections unless the posting actually states them. The posting does state Pay Range and Benefits. So include them.
Also, the posting mentions "This is a hybrid role performing in-home assessments. Uvalde and Del Rio are the service delivery areas." That could be part of About the role or Schedule? But Schedule section is for work schedule details. The posting doesn't explicitly state schedule (like hours, shifts). It says hybrid, in-home assessments, service delivery areas. That's more about work location/type. Could include in About the role.
The Key Details list is long. I'll convert each bullet point into
- items. However, the original text is not formatted as bullet points; it's a paragraph with line breaks. I need to split into individual duties. Looking at the text, each line seems like a separate duty. I'll treat each sentence or clause as a separate bullet? But the text is a block with line breaks. I'll split by line breaks (each line appears to be a separate duty). Let's examine:
"Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome"
"Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs"
"Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services"
"Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs"
"Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable"
"Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations"
"Reviews referrals information and intake assessments to develop appropriate care plans / service plans"
"Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed"
"Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines"
"Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits"
"Acts as liaison and member advocate between the member/family, physician, and facilities/agencies"
"Educates on and coordinates community resources."
"Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)"
"May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required"
"Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner"
"May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness"
"May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice"
"May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success"
"Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness"
"Performs other duties as assigned"
"Complies with all policies and standards"
That's a lot of duties. I'll include them all as list items.
Education/Experience: "Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience Bachelor's degree in Nursing preferred" - this is two sentences. I'll make two list items or combine? Better to split: one for education requirement, one for experience, one for preferred.
License/Certification: "RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required" - three items.
Pay Range: "$36.21 - $65.09 per hour" - include in Pay section.
Benefits: from the Centene paragraph: "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." Also "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." That's more detail about pay determination and benefits eligibility. I'll include the list of benefits as bullet points, and maybe the additional notes as prose.
The EEO statement at the end: "Centene is an equal opportunity employer..." - that's boilerplate, should be removed.
Also the first paragraph about Centene mission: "At Centene, we connect people to the care they need to live healthier lives..." - that's company boilerplate, but it's part of the posting. The rules say remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. The mission statement might be considered company branding, but it's not strictly legal boilerplate. However, the user says "Preserve ALL substantive information". The mission statement is not substantive to the job. I'd lean to remove it as it's generic company description. But the benefits paragraph is part of the same block. I'll keep the benefits info but drop the mission fluff.
Now, structure:
About the role
Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.
This is a hybrid role performing in-home assessments. Uvalde and Del Rio are the service delivery areas.
Responsibilities
- Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome
- Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs
- Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
- Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs
- Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable
- Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations
- Reviews referrals information and intake assessments to develop appropriate care plans / service plans
- Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed
- Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines
- Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
- Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
- Educates on and coordinates community resources
- Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
- May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required
- Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
- May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness
- May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice
- May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Co
for prose - Do NOT repeat job title as heading (the page already shows it) - Do NOT put Job ID/requisition numbers as headings - Preserve ALL substantive information - Remove boilerplate (cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions) - Include a section ONLY when posting has real, specific content for it - Never emit heading followed by filler/placeholder text (e.g., "commensurate with experience", "not specified", "N/A", "varies", "TBD") - Never create Pay/Schedule/Benefits sections unless posting actually states them - Prefer few substantive sections over many thin ones - Output ONLY HTML fragment — no /, no markdown code fences Now, let's parse the content: The posting starts with "Position Purpose" - this is essentially "About the role". Then "Key Details" contains a long list of duties. Then "Education/Experience" and "License/Certification" are requirements/qualifications. Then "Pay Range" is given. Then a paragraph about Centene benefits. I need to structure this into appropriate sections. Possible sections: 1. About the role (from Position Purpose) 2. Responsibilities (from Key Details - the bullet points) 3. Requirements (Education/Experience and License/Certification) 4. Pay (Pay Range) 5. Benefits (from the Centene paragraph) But note: The Centene paragraph includes benefits info: "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." Also mentions "Actual pay will be adjusted based on..." but that's more about pay determination. The rules say: never create Pay/Schedule/Benefits sections unless the posting actually states them. The posting does state Pay Range and Benefits. So include them. Also, the posting mentions "This is a hybrid role performing in-home assessments. Uvalde and Del Rio are the service delivery areas." That could be part of About the role or Schedule? But Schedule section is for work schedule details. The posting doesn't explicitly state schedule (like hours, shifts). It says hybrid, in-home assessments, service delivery areas. That's more about work location/type. Could include in About the role. The Key Details list is long. I'll convert each bullet point into
About the role
Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.
This is a hybrid role performing in-home assessments. Uvalde and Del Rio are the service delivery areas.
Responsibilities
- Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome
- Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs
- Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
- Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs
- Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable
- Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations
- Reviews referrals information and intake assessments to develop appropriate care plans / service plans
- Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed
- Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines
- Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
- Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
- Educates on and coordinates community resources
- Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
- May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required
- Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
- May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness
- May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice
- May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Co