Senior Care Manager (RN)

Centene
New Hampshire
Workplace: RemoteFull timeUSD 75,300 - 135,400 annuallyFunction: Healthcare (Clinical, Medical, Wellness)Experience: 4-6 yearsEducation: bachelorsSkills: ["Care coordination","Documentation","Member education","Problem solving","Collaboration"]

Assess, plan, and implement complex care management for NH Health Families Medicaid members, building and continuously updating personalized care/service plans. Coordinate with providers and caregivers to address unmet needs, monitor member status and progress, and revise plans as goals change. Review member data and referrals to improve quality and operating performance, conduct outreach (telephonic/digital/home), and maintain compliant documentation while educating members and supporting onboarding/precepting of clinical hires.

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FursaFursa
Centene
Centene
3 days ago

Senior Care Manager (RN)

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Last checked: 4 hours agoStatus: Live

Job Summary

Assess, plan, and implement complex care management for NH Health Families Medicaid members, building and continuously updating personalized care/service plans. Coordinate with providers and caregivers to address unmet needs, monitor member status and progress, and revise plans as goals change. Review member data and referrals to improve quality and operating performance, conduct outreach (telephonic/digital/home), and maintain compliant documentation while educating members and supporting onboarding/precepting of clinical hires.
Location: New Hampshire
Workplace: Remote
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Mid level

Key Responsibilities

  • •Assess, plan, and implement complex care management activities to achieve quality, cost-effective healthcare outcomes.
  • •Develop and continuously update personalized care/service plans based on member activities, issues, and unmet needs.
  • •Coordinate between members/families/caregivers and the provider team to deliver person-centered care and services.
  • •Monitor member status and care plan goals, identify barriers, and update/refine care plans as needs change.
  • •Review member data and referrals, document all care management activities for compliance, and provide/facilitate education on care options and benefits.

Pay and Benefits

Salary: USD 75,300 - 135,400 annually
Perks:Health Insurance401kEquityPaid Leave

Key Requirements

  • •NH Health Families Medicaid service experience/role fit with NH RN licensure required.
  • •RN - Registered Nurse state licensure and/or compact state licensure required.
  • •Degree in nursing (accredited school) or a Bachelor's degree in Nursing.
  • •4–6 years of related experience in care management/healthcare coordination.
  • •Experience in both physical health and behavioral health is highly preferred.
Experience:4-6 yearsMedicaidManaged care
Education:Bachelor's in Nursing
Skills:Care coordinationDocumentationMember educationProblem solvingCollaboration
Licenses:NH RN LicensureCompact state licensure
Certifications:RN - Registered Nurse

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn