Senior Care Manager, RN

🔥 0 minutes ago

🌪️ Oklahoma – Remote

🌪️ Oklahoma – 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 • Continuously assess care plans and collaborate with providers and community resources • Coordinate members, families/caregivers, and care provider teams to ensure person-centered care • Monitor member status, condition changes, and progress toward care goals • Identify barriers and interventions for escalated cases • Review member data, referrals, and intake assessments to improve care quality and operating performance • Perform telephonic, digital, home, and other site outreach • Collaborate with healthcare providers to facilitate services and treatments • Document member information and care management activities for regulatory compliance • Educate members and caregivers on disease processes, care gaps, referrals, care options, and benefits • Partner with leadership to improve cost-effective care delivery • Precept and coach clinical new hires during onboarding • Guide preceptees within a Managed Care Organization and provide coaching/shadowing • Complete competency checkpoints and monitor readiness for Service Coordination • Collaborate with People Leaders and cross-functional teams to measure readiness • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Must reside in Oklahoma • 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 children, foster care, and/or the juvenile justice system is ideal • Computer savvy • Excellent communication and customer service skills • Experience managing a complex medical caseload • Assessment skills • 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 • Diversity-focused equal opportunity employer