Clinical Social Worker

Job Title:

LTSS Service Care Manager

Location: Remote – North Carolina (Preferred locations: Fayetteville, Wilmington, Jacksonville, Goldsboro)

Assignment Duration: 6 months, with potential to extend or convert

Work Schedule: Monday – Friday, 8:00 AM – 5:00 PM EST

Travel: Up to 80% travel within a 2.5–3-hour radius from home residence. Mileage and lodging reimbursed.

Remote Work: Yes – based in North Carolina

Centene Facility: No

FTE Conversion Salary Band: $68,000 - $70,000

Position Summary:

The LTSS Service Care Manager is responsible for managing a caseload of healthcare members with long-term care needs. This position requires a high level of autonomy and fieldwork, conducting in-home visits, assessments, and ongoing care coordination. The role ensures members receive timely, cost-effective, and comprehensive services, while supporting their choice to remain in the least restrictive environment possible.

Key Responsibilities:

• Complete in-person assessments with members, caregivers, or providers to obtain clinical and psychosocial information.
• Develop individualized care plans tailored to each member’s needs and goals.
• Monitor service delivery and member progress through both telephonic and in-person follow-ups.
• Authorize, coordinate, and track services and referrals to ensure no gaps in care.
• Collaborate with healthcare providers, discharge planners, and interdisciplinary teams to coordinate services across care settings.
• Support members with appeals, grievances, and navigation of long-term services and supports.
• Maintain accurate and timely documentation in electronic health records.
• Comply with state, federal, and Centene regulations and standards.

Required Qualifications:

• Education: Bachelor’s degree
• Licensure:
• Required: Valid RN or LCSW license
• Required: Valid driver’s license (must be willing to travel up to 80%)
• Experience:
• Minimum 2 years of care management or case management experience
• Background in physical health, home health, utilization management, or discharge planning

• Technology Proficiency:
• Experience with Microsoft Office and electronic medical records (EMR)

Preferred Qualifications:

• 4–6 years of total care management experience
• Experience in long-term care, home health, or discharge planning
• Familiarity with Medicaid or managed care organizations
• Strong documentation, time management, and organizational skills

Work Environment & Culture:

• Independent, remote field-based role with flexible daily scheduling
• Supportive and experienced team culture
• Weekly virtual and/or in-person team meetings
• Mission-driven organization focused on improving outcomes for medically needy populations

Candidate Value Proposition:

This role is ideal for compassionate, self-driven clinicians who want to make a lasting difference in the lives of vulnerable populations. As a vital part of Carolina Complete Health’s LTSS team, you’ll support holistic, community-based care while enjoying a flexible, autonomous work environment and mileage/lodging reimbursement.

Job Type: Full-time

Pay: $31.80 - $41.80 per hour

Expected hours: No less than 40 per week

Benefits:

• Flexible schedule
• Health insurance

Medical Specialty:

• Home Health

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: Remote

Salary : $68,000 - $70,000