Care Manager, RN

🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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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

• Develop, assess, and facilitate complex care management activities for members with primarily physical needs • Evaluate member needs, care-access barriers, and social determinants of health, focusing on member-identified priorities • Develop ongoing care plans and service plans • Collaborate with providers, specialists, and community resources to address unmet needs • Identify problems and barriers to care and provide appropriate care management interventions • Coordinate between members, families/caregivers, and care provider teams to ensure person-centered care • Follow up and monitor member status, changes in condition, and progress toward care-plan goals • Revise and update care plans as necessary with members, caregivers, and providers • Provide resource support for local services such as employment, housing, independent living, justice, and foster care • Facilitate care management and collaborate with providers or specialists to ensure timely access to care • Conduct telephonic, digital, home, and/or other site outreach • Collect, document, and maintain member information and care management activities for regulatory compliance • Educate members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits • Provide leadership feedback on opportunities to improve care quality and cost-effective delivery • Perform other duties assigned by the people leader and comply with policies and standards

🎯 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 • Must reside in Arizona

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Potential additional forms of incentives