Business Insights Manager
Acosta
Care Manager, RN
Centene Corporation
full-time
Posted on:
Location Type: Hybrid
Location: New Jersey • 🇺🇸 United States
Visit company websiteSalary
💰 $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; focuses on member priorities
- Develops ongoing care plans/service plans and collaborates with providers to identify specialists and community resources
- Identifies problems/barriers to care and provides appropriate care management interventions
- Coordinates between members/families/caregivers and the care provider team to ensure person-centered care
- Provides ongoing follow up and monitoring of member status, condition changes, and progress toward care plan goals
- Provides resource support for local services (employment, housing, independent living, justice, foster care) as appropriate
- Facilitates care management and collaborates with providers/specialists to ensure timely access to needed care
- Performs telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
- Collects, documents, and maintains all member information and care management activities to ensure regulatory compliance
- Provides education to members and families/caregivers on disease processes, care options, referrals, and healthcare benefits
- Provides feedback to leadership on opportunities to improve care and quality delivery
Requirements
- Requires a 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
- Must reside in Bergen and/or Hudson County to travel for home visits within these regions
- Travel up to 75% required
- Ability to perform telephonic, digital, home and/or other site outreach to assess member needs
- Compliance with current state, federal, and third-party payer regulators
- Ability to provide education to members and their families/caregivers on disease processes and care plans
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 assessmentregulatory compliancetelephonic outreachdigital outreachhome visitsdocumentationeducation on disease processesmonitoring member status
Soft skills
collaborationcommunicationproblem-solvinginterpersonal skillsorganizational skillsleadershipempathyadaptabilitycritical thinkingresourcefulness
Certifications
Registered Nurse (RN) LicensureCompact State Licensure
