Senior Care Manager, RN

🔥 29 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $75.3k - $135.4k / year

⏰ Full Time

🟠 Senior

👔 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

• Assess, plan, and implement complex care management activities • Develop personalized care plans/service plans for members • Address member issues and educate members and families/caregivers on services and benefit options • Continuously assess care plans and collaborate with providers and community resources • Coordinate between members/families/caregivers and care provider teams • Monitor member status, changes in condition, and progress toward care goals • Identify problems, barriers, and appropriate care management interventions for escalated cases • Review member data, referrals, and intake assessments to improve quality and develop care plans • Perform telephonic, digital, home, and/or other site outreach • Collaborate with healthcare providers to facilitate services and treatments • Collect, document, and maintain member information and care management activities for regulatory compliance • Provide or facilitate education on disease processes, care gaps, provider instructions, care options, referrals, and benefits • Partner with leadership to improve cost-effective care and quality delivery • Precept, coach, and support clinical new hires/preceptees • Support onboarding, competency checkpoints, readiness measurement, and cross-functional collaboration • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Applicants must reside in North Carolina • Active RN license required • RN State Licensure and/or Compact State Licensure required • Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing • 4–6 years of related experience • Experience working with the maternity population and in care management preferred by the role description • Strong assessment skills • Computer proficiency, including Microsoft applications • Excellent communication and customer service skills • Attention to detail • Strong organizational and management skills • Effective time management • Ability to work Monday through Friday, 8:00 AM to 5:00 PM • Ability to travel approximately 10%

🏖️ Benefits

• Competitive pay • Health insurance • 401K • 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 • Diversity and equal opportunity employment

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