Care Manager, RN

🔥 13 hours ago

🌴 South Carolina – 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 • Create personalized care plans and provide education to members and families • Evaluate member needs, barriers to care, 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 appropriate interventions • Coordinate care among members, caregivers, and provider teams • Monitor member status, condition changes, and progress toward care-plan goals; revise plans 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 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

• Applicants must reside in South Carolina • Active RN license required • RN - Registered Nurse - State Licensure and/or Compact State Licensure required • Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing • 2–4 years of related experience • Computer savvy • Excellent communication and customer service skills • Strong assessment and critical-thinking skills • Care management experience • Effective time-management skills • Strong attention to detail • Availability Monday through Friday, 8:00 AM to 5:00 PM

🏖️ 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

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