Care Manager, RN

🔥 0 minutes ago

🇺🇸 United States – 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 • Conduct member outreach and case management enrollment • Manage members on an ongoing basis and participate in clinical rounds • Evaluate member needs, barriers to care, and social determinants of health • Develop care plans and collaborate with providers, specialists, and community resources • Identify care barriers and provide appropriate care management interventions • Coordinate person-centered care among members, families, caregivers, and provider teams • Follow up and monitor member status, condition changes, and progress toward care plan goals • Provide resource support for employment, housing, participant direction, independent living, justice, and foster care services • Facilitate access to needed care and services • Perform 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-effectiveness • Comply with all policies and standards and perform other assigned duties

🎯 Requirements

• 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 • Disease management experience • Strong clinical judgment • Microsoft proficiency • Background in physical health case management • Hospice or home health experience is preferred • Maternity experience is helpful

🏖️ Benefits

• competitive pay • health insurance • 401K • stock purchase plans • tuition reimbursement • paid time off plus holidays • a flexible approach to work with remote, hybrid, field or office work schedules • Total compensation may also include additional forms of incentives