Care Manager, RN

🔥 0 minutes ago

🐊 Florida – Remote

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💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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Logo of Centene Corporation

Centene Corporation

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 • Provide personalized care plans and education for members and their families • Evaluate member needs, barriers to care access, and social determinants of health • Develop ongoing care plans and collaborate with providers, specialists, and community resources • Identify problems and barriers to care and provide care management interventions • Coordinate between members, families/caregivers, and care provider teams • Follow up and monitor member status, condition changes, and progress toward care plan goals • Revise or update care plans with members, caregivers, and providers as needed • Provide resource support for services such as employment, housing, participant direction, independent living, justice, and foster care • Facilitate care management and timely access to needed care or services • Perform telephonic, digital, home, and/or other site outreach • Collect, document, and maintain member information and care management activities for regulatory compliance • Provide or facilitate education on disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits • Provide leadership feedback on opportunities to improve care and quality delivery • Perform other duties as assigned 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 • Florida licensed RN • Applicants must reside in the state of Florida • Ability to work Monday–Friday, 8am–5pm Eastern Time • Clinical experience working with chronic conditions or diseases is ideal • Case management experience is ideal • Managed care experience is helpful • Time management and communication skills • Compliance with applicable policies, standards, and regulatory requirements

🏖️ 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 • Additional forms of incentives may be included in total compensation

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