Senior Care Manager, RN

🔥 0 minutes ago

☕ Washington – Remote

☕ Washington – 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 • Assess ongoing care plans and collaborate with providers and community resources • Coordinate members, caregivers, and care provider teams to ensure appropriate person-centered care • Monitor member status, changes in condition, progress, and care-plan goals • Identify barriers and interventions for escalated cases • Review member data, referrals, and intake assessments to improve quality and operating performance • Perform telephonic, digital, home, and/or other site outreach • Collaborate with healthcare providers to facilitate services and treatments • Collect, document, and maintain member and care-management information for regulatory compliance • Provide education on disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits • Partner with leadership to improve care and quality delivery cost-effectively • May precept clinical new hires, provide coaching, facilitate growth, and guide onboarding • Support clinical new hires/preceptees in navigating a Managed Care Organization • Complete competency checkpoints and monitor readiness for Service Coordination success • Collaborate with People Leaders and cross-functional teams to measure and monitor readiness • Perform other duties as assigned and comply with company policies and standards

🎯 Requirements

• Degree from an accredited school of nursing or a Bachelor's degree in Nursing • 4–6 years of related experience • RN state licensure and/or compact state licensure required • WA State RN licensure and/or compact state licensure required • Ability to work Monday–Friday, 8:00 am–5:00 pm Pacific Standard Time • Compliance with state, federal, and third-party payer regulations • Knowledge of care management, personalized care plans, member assessment, healthcare benefits, referrals, and provider coordination

🏖️ 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 • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity