Care Manager, RN

🔥 1 minute ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 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

• Develop, assess, and facilitate complex care management activities for members with primarily physical needs • Evaluate member needs, barriers to care, and social determinants of health • Develop ongoing care plans and service plans • Collaborate with providers, specialists, caregivers, and community resources • Identify barriers to care and provide appropriate interventions • Coordinate person-centered care and services between members, families, caregivers, and provider teams • Monitor member status, changes in condition, and progress toward care plan goals • Provide resource support for employment, housing, participant direction, independent living, justice, and foster care services • Facilitate timely access to needed care and services • Conduct telephonic, digital, home, and other site outreach • Collect, document, and maintain member information and care management activities • Educate members and families/caregivers about disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits • Provide leadership feedback on opportunities to improve care quality and cost-effectiveness • Perform other assigned duties and comply with all policies and standards

🎯 Requirements

• Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing • 2–4 years of related experience • Active New Jersey Registered Nurse (RN) license required • RN - Registered Nurse - State Licensure and/or Compact State Licensure required • Ability to serve members throughout Monmouth and Ocean Counties, New Jersey • Ability to work Monday through Friday from 8:00 AM to 5:00 PM EST, with flexibility based on member and business needs • Ability to travel locally up to 50% for in-home member visits • Ability to independently manage a caseload, coordinate member care, and complete required documentation • Compliance with state, federal, organizational, and third-party payer requirements

🏖️ 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 • Additional forms of incentives may be included in total compensation • Benefits may be subject to program eligibility