Care Manager, RN

🔥 0 minutes 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 primarily physical-needs members • Evaluate member needs, care-access barriers, and social determinants of health • Develop ongoing care plans and service plans • Collaborate with providers, specialists, caregivers, and community resources • Identify problems and barriers to care and provide care management interventions • Coordinate person-centered care and services between members, families, caregivers, and provider teams • Monitor member status, condition changes, and progress toward care plan goals • Provide local resource support for services including employment, housing, participant direction, independent living, justice, and foster care • 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 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 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 RN license required • RN - Registered Nurse - State Licensure and/or Compact State Licensure required • Strong computer skills • Strong time-management skills • Strong organizational skills • Comfortable managing an MLTSS caseload in accordance with New Jersey Medicaid requirements • Approximately 50% travel for member visits • Monday–Friday availability from 8:00 a.m. to 5:00 p.m., with flexibility based on business needs

🏖️ Benefits

• Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off • Paid holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity workplace committed to diversity