Care Manager, RN

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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, barriers to care access, and social determinants of health • Develop personalized care plans/service plans and collaborate with providers, specialists, and community resources • Identify problems and barriers to care and provide appropriate care management interventions • Coordinate among members, families/caregivers, and care provider teams to ensure person-centered care • 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 employment, housing, participant direction, independent living, justice, and foster care services • Facilitate care management and timely access to needed care and services • 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 and quality delivery cost-effectively • Perform other assigned duties 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 • Unrestricted Michigan RN license required • RN state licensure and/or compact state licensure required • Ability to work Monday–Friday, 8am–5pm Eastern • Ability to perform remote care management, outreach, documentation, and member education

🏖️ 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 • Potential additional forms of incentives • Accommodation support