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Senior Director, LTSS Clinical Care Management

Centene

About This Role

The Senior Director of LTSS Clinical Care Management leads and directs the long-term care management of members with physical, medical, and behavioral health care needs. This role is ideal for experienced leaders looking to improve healthcare outcomes and member experiences.

Highlights

  • Pay : $146,000 - $269,600/year
  • Location : Remote, IN
  • Residency : Must reside in Indiana or be willing to relocate to Indiana
  • Schedule : Full Time, Day shift

What You'll Do

  • Provide oversight and leadership to the long-term care management process
  • Develop and communicate a vision and direction for the department
  • Oversee work assignments and caseloads of long-term care management staff
  • Monitor and sign off on contract required reporting
  • Ensure compliance with corporate, state, and NCQA standards
  • Attend conferences to stay updated on trends in Payer Care Management
  • Lead and coordinate large or special project work
  • Provide subject matter expert guidance to senior leadership
  • Review long-term care member data to identify trends and improve performance
  • Engage in onboarding, hiring, and training of new team members

Requirements

Education:

  • Graduate from an Accredited School of Nursing or Bachelor's degree required
  • Master's degree preferred for positions overseeing BH team members

Experience:

  • 10+ years of related experience required
  • 5+ years management experience preferred

Licenses & Certifications:

  • Current state's Registered Nurse (RN) license preferred, OR
  • Licensed Clinical Behavioral Health Professional or RN based on state contract requirements (e.g., LCSW, LMSW, LMFT, LMHC)

Benefits

  • Competitive pay
  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible work schedules (remote, hybrid, field, or office)

About Centene

Centene is a leading healthcare provider committed to delivering exceptional patient care. They connect people to the care they need to live healthier lives, making a real impact every day through meaningful challenges and a dedicated team.

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Vacancy posted more than 2 months ago

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