Care Manager, RN

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 10%

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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

• Lead complex care management for members with primarily physical health needs • Conduct comprehensive assessments and evaluate member needs, barriers to care, and social determinants of health • Develop personalized, ongoing care plans and service plans • Coordinate care among members, families, caregivers, providers, specialists, and community resources • Identify problems and barriers to care and provide appropriate interventions • Monitor member status, changes in condition, and progress toward care plan goals • Provide resource support for services such as employment, housing, independent living, justice, and foster care • Facilitate 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 quality and cost-effective delivery • Support PHCO Case Management and collaborate with cross-functional Medicaid teams • Comply with all policies and standards and perform other assigned duties

🎯 Requirements

• Required credential: Registered Nurse (RN) • Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing • 2–4 years of related experience • RN (Registered Nurse) state licensure and/or compact state licensure required • Schedule availability from 8:00 a.m.–5:00 p.m. Eastern Time • Candidates must reside in Georgia

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Total compensation may include additional forms of incentives