Care Manager (RN)

Centene
Illinois
Workplace: RemoteFull timeUSD 56,200 - 101,000 annuallyFunction: Healthcare (Clinical, Medical, Wellness)Experience: 2-4 yearsEducation: bachelorsSkills: ["Care management","Person-centered care","Collaboration","Documentation","Education"]

Develop and facilitate complex care management for Illinois YouthCare Medicaid program members, focusing on physical care needs, social determinants of health, and person-centered outcomes. Evaluate barriers to care, create and monitor care/service plans, coordinate with providers and community resources, and deliver education to members and families. Maintain compliant documentation and provide feedback to leadership to improve quality and cost-effective care delivery.

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FursaFursa
Centene
Centene
1 day ago

Care Manager (RN)

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Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 23 hours agoStatus: Live
Reposted: similar role first listed 5 months ago

Job Summary

Develop and facilitate complex care management for Illinois YouthCare Medicaid program members, focusing on physical care needs, social determinants of health, and person-centered outcomes. Evaluate barriers to care, create and monitor care/service plans, coordinate with providers and community resources, and deliver education to members and families. Maintain compliant documentation and provide feedback to leadership to improve quality and cost-effective care delivery.
Location: Illinois
Workplace: Remote
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Mid level

Key Responsibilities

  • •Evaluate member needs and barriers to accessing appropriate care, including social determinants of health.
  • •Develop and update ongoing care/service plans and coordinate with providers, specialists, and community resources to meet unmet needs.
  • •Identify problems/barriers to care and implement appropriate care management interventions.
  • •Coordinate between members, caregivers, and the care provider team, and provide ongoing follow-up and monitoring of status and progress.
  • •Deliver education to members and families/caregivers and maintain compliant documentation of care management activities.
Travel: Low travel

Pay and Benefits

Salary: USD 56,200 - 101,000 annually
Perks:Health Insurance401kEquityPaid LeaveHolidaysRemote Work

Key Requirements

  • •Bachelor’s degree in nursing (or degree from an accredited school of nursing) and IL RN licensure required.
  • •Must reside in Illinois and be based in one of the listed counties (Cook, Will, DuPage, Kane, Lake, McHenry, Grundy, Kendall, or Kankakee).
  • •2–4 years of related experience in a relevant care setting.
  • •Ability to assess member needs, barriers to accessing care, and social determinants of health.
  • •Ability to collaborate with providers and caregivers to develop, monitor, and update personalized care plans.
Experience:2-4 years
Education:Bachelor's
Skills:Care managementPerson-centered careCollaborationDocumentationEducation
Licenses:IL RN licensure

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