Senior Care Manager, RN

🕒 3 days ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $75.3k - $135.4k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Assess, plan, and implement complex care management activities • Develop personalized care plans/service plans for members • Continuously assess care plans and collaborate with providers, specialists, and community resources • Coordinate between members/families/caregivers and care provider teams • Monitor member status, condition changes, progress, and care plan goals • Identify barriers and care management interventions for escalated cases • Review member data, referrals, and intake assessments to improve quality and develop care plans • Perform telephonic, digital, home, and/or site outreach • Collaborate with healthcare providers to facilitate services and treatments • Collect, document, and maintain member and care management information for regulatory compliance • Educate members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, and benefits • Partner with leadership to improve cost-effective care and quality delivery • May precept clinical new hires and provide coaching, shadowing, onboarding, and competency support • Collaborate with People Leaders and cross-functional teams to monitor readiness • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Must reside in North Carolina • Active RN license required • RN - Registered Nurse - State Licensure and/or Compact State Licensure required • Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing • 4–6 years of related experience • Experience working with the pediatric population, specifically in CMARC (Care Management for At-Risk Children), ideal • Experience in care management • Strong assessment skills • Computer proficiency, including Microsoft applications • Excellent communication and customer service skills • Attention to detail • Strong organizational and management abilities • Effective time management skills • Monday through Friday availability from 8:00 AM to 5:00 PM

🏖️ Benefits

• Competitive pay • Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Diversity-focused equal opportunity employer

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