Centene Corporation

Senior Care Manager, RN – Transition of Care

Centene Corporation

full-time

Posted on:

Location Type: Remote

Location: Remote • New York • 🇺🇸 United States

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Salary

💰 $73,800 - $132,700 per year

Job Level

Senior

About the role

  • Assesses, plans, and implements complex care management activities based on member activities
  • Develops personalized care plans/service plans and continuously assesses and revises them
  • Coordinates and manages between members/families/caregivers and care provider teams
  • Monitors member status, change in condition, and progress toward care plan goals
  • Reviews member data, referrals, and intake assessments to develop appropriate care plans
  • Performs telephonic, digital, home and/or other site outreach to assess member needs
  • Collaborates with healthcare providers to facilitate services and determine revised care plans
  • Collects, documents, and maintains all member information and care management activities
  • Provides education to members and families/caregivers on disease processes, care options, and benefits
  • May precept clinical new hires and provide coaching, shadowing, and competency check points
  • Partners with leadership to improve care and quality delivery in a cost-effective manner
  • Performs other duties as assigned and complies with all policies and standards

Requirements

  • Must have an active New York State Registered Nurse License
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required
  • Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
  • 4 – 6 years of related experience
  • Ability to perform telephonic, digital, home and/or other site outreach
  • Experience with care plan/service plan development and monitoring
  • Knowledge of state and federal regulations and third-party payer requirements
  • Ability to collaborate with healthcare providers and community resources
  • Experience with documentation and maintaining member information for compliance
Benefits
  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules
  • comprehensive benefits package including potential 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 plan developmenttelephonic outreachdigital outreachhome outreachdocumentationmember assessmentmonitoring member statuscoachingcompetency check points
Soft skills
collaborationcommunicationorganizational skillsleadershipeducationproblem-solvinginterpersonal skillsadaptabilitycritical thinkingteamwork
Certifications
New York State Registered Nurse LicenseRN - Registered Nurse - State LicensureCompact State Licensure
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