Care Manager (RN)

Centene
Ohio
Workplace: RemoteFull timeUSD 56,200 - 101,000 annuallyFunction: Healthcare (Clinical, Medical, Wellness)Experience: 2-4 yearsEducation: bachelorsSkills: []

Develop and facilitate complex care management for members with primarily physical needs, including assessing barriers to care and identifying social determinants. Create and maintain personalized care/service plans, coordinate with providers and community resources, and provide education to members and caregivers. Monitor progress, revise care plans as needed, maintain compliant documentation, and support timely access to healthcare and services for improved, cost-effective outcomes.

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FursaFursa
Centene
Centene
1 day ago

Care Manager (RN)

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Source: Company careers pageValidated by: Fursa AI
Last checked: 11 hours agoStatus: Live

Job Summary

Develop and facilitate complex care management for members with primarily physical needs, including assessing barriers to care and identifying social determinants. Create and maintain personalized care/service plans, coordinate with providers and community resources, and provide education to members and caregivers. Monitor progress, revise care plans as needed, maintain compliant documentation, and support timely access to healthcare and services for improved, cost-effective outcomes.
Location: Ohio
Workplace: Remote
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Mid level

Key Responsibilities

  • •Develop and facilitate complex care management activities and personalized care/service plans for members and families.
  • •Assess member needs, barriers to care, and social determinants of health to recommend and/or facilitate best outcomes.
  • •Coordinate between members, caregivers, and provider teams to ensure person-centered care and appropriate services.
  • •Provide ongoing follow-up and monitoring of status, change in condition, and progress toward care plan goals; update plans as needed.
  • •Document and maintain member information and care management activities to ensure compliance with applicable regulators, and provide education on disease processes, care options, referrals, and benefits.
Travel: Low travel

Pay and Benefits

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

Key Requirements

  • •Requires a degree from an accredited school of nursing or a bachelor’s degree in nursing.
  • •2–4 years of related experience in care management.
  • •RN licensure (state licensure and/or compact state licensure) required.
  • •Develops, assesses, and facilitates complex care management activities for members’ care needs.
  • •Evaluates member needs and barriers to accessing appropriate care, including social determinants of health.
Experience:2-4 years
Education:Bachelor's
Licenses:RN - Registered Nurse

Eligibility

Visa:H-1BL-1O-1H-1B1F-1J-1OPTCPT
Work Authorization:Authorization required. Sponsorship not provided.

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