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Senior LTSS Service Care Manager (RN) - J01077
Job Description
Job Title: RN Care Manager – Complex Care Coordination
About the Role
We’re seeking a compassionate and experienced RN Care Manager to support complex and high-acuity members across the continuum of care. In this role, you will develop personalized care plans, coordinate services, advocate for members and families, and help improve health outcomes through high-quality, cost-effective care delivery.
Key Responsibilities
- Assess complex member needs and develop individualized care plans/service plans
- Coordinate care across providers, specialists, caregivers, and community resources
- Monitor member progress, clinical status, and care outcomes; update plans as needed
- Educate members and caregivers on healthcare options, benefits, disease management, and available services
- Advocate for members to ensure access to person-centered, high-quality care
- Collaborate with interdisciplinary teams to improve quality, compliance, and service delivery
- Maintain accurate documentation in accordance with state, federal, and clinical guidelines
- Conduct home or site visits as required
- Support onboarding and mentorship of new clinical team members when applicable
- Graduate of an accredited School of Nursing or Bachelor’s degree with 4–6 years of related experience
- Active RN or NP license in the applicable state (or Compact State Licensure)
- Experience in care management, case management, long-term care, or managed care
- Strong clinical assessment, care coordination, and communication skills
- Ability to manage complex, high-acuity populations
- Bachelor’s degree in Nursing (BSN)
- Experience working in a Managed Care Organization (MCO)
- Long-term care or population health management experience
- Resource Utilization Group (RUG) certification (required within 90 days of hire for Superior)
Make a meaningful impact by helping members navigate complex healthcare needs while working alongside a collaborative, mission-driven care team dedicated to improving lives.
Apply Today
If you’re passionate about delivering compassionate, coordinated care and improving health outcomes for vulnerable populations, we’d love to hear from you. Apply now to join our team!
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Ready to kickstart your career in Laredo, Texas? This vibrant city located on the southern edge of the Lone Star State offers a unique blend of culture, history, and career opportunities waiting to be explored. Laredo boasts a rich heritage as one of the oldest border crossing points along the Rio Grande, allowing for a diverse and dynamic environment that fosters growth and prosperity. From exploring the beautiful San Agustin de Laredo Historic District, indulging in authentic Tex-Mex cuisine, to catching a performance at the Laredo Center for the Arts or cheering on the Laredo Bucks hockey team at Sames Auto Arena, there is something for everyone here. Take advantage of the warm climate and picturesque parks like Lake Casa Blanca International State Park for outdoor adventures. Join us in Laredo and discover a world of endless opportunities waiting for you. Explore our job listings today and embark on a new chapter in this enchanting region.