Centene Corporation

Care Manager, RN

Centene Corporation

full-time

Posted on:

Location Type: Remote

Location: Remote • New Jersey • 🇺🇸 United States

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Salary

💰 $55,100 - $99,000 per year

Job Level

JuniorMid-Level

About the role

  • Develops, assesses, and facilitates complex care management activities for primarily physical needs members
  • Evaluates member needs, barriers to care, and social determinants of health; recommends/facilitates plans
  • Develops ongoing care plans/service plans and collaborates with providers and community resources
  • Identifies problems/barriers to care and provides appropriate care management interventions
  • Coordinates between member/family/caregivers and care provider team to ensure person-centered care
  • Provides ongoing follow up and monitoring of member status and revises care plans as necessary
  • Provides resource support for local services (employment, housing, independent living, justice, foster care)
  • Facilitates care management and collaborates with providers/specialists to ensure timely access to care
  • Performs telephonic, digital, home and/or other site outreach to assess member needs
  • Collects, documents, and maintains all member information and care management activities for compliance
  • Provides education to members and families on disease processes, care gaps, referrals, and benefits
  • Provides feedback to leadership on opportunities to improve care and quality delivery

Requirements

  • Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
  • 2 – 4 years of related experience
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required
  • Certified Diabetes Educator - Preferred
  • Must reside in the state of Georgia
  • Ability to perform telephonic, digital, home and/or other site outreach
  • Ability to collect, document, and maintain member information to ensure compliance with regulators
Benefits
  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules
  • Total compensation may also include additional forms of incentives

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
care managementcare planningmember assessmentdocumentationcomplianceoutreachinterventionmonitoringeducation
Soft skills
collaborationcommunicationproblem-solvingleadershiporganizational skills
Certifications
Registered NurseCertified Diabetes Educator
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