Care Manager, RN

🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – 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 • Create personalized care plans and provide education for members and families • Evaluate member needs, care access barriers, and social determinants of health • Develop ongoing care/service plans and collaborate with providers, specialists, and community resources • Identify problems and barriers to care and provide care management interventions • Coordinate members, caregivers, and care provider teams to ensure appropriate 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 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 and quality delivery cost-effectively • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Active New Jersey Registered Nurse (RN) license required • Degree from an Accredited School of Nursing or Bachelor's degree in Nursing • 2–4 years of related experience • RN state licensure and/or compact state licensure required • Ability to conduct in-home member visits and up to 50% local field travel • Availability generally Monday through Friday, 8:00 AM to 5:00 PM EST, with flexibility based on member and business needs • Knowledge of care management, healthcare coordination, member education, care plans, referrals, and healthcare benefits • Ability to document and maintain member information in compliance with state, federal, and third-party payer regulations

🏖️ Benefits

• Competitive pay • Health insurance • 401K plans • 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