Care Manager (RN)

Centene
Michigan
Workplace: RemoteFull timeUSD 56,200 - 101,000 annuallyFunction: Healthcare (Clinical, Medical, Wellness)Experience: 2-4 yearsEducation: bachelorsSkills: ["Care coordination","Assessment","Education","Compliance","Problem-solving"]

Develop and manage complex care plans for members’ physical needs by assessing barriers to care and social determinants of health. Coordinate with providers, specialists, and community resources to address unmet needs, and deliver ongoing monitoring and follow-up to ensure progress toward service goals. Provide education to members and caregivers, maintain accurate care management documentation for regulatory compliance, and support timely access to needed services while offering feedback to leadership to improve 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: 11 hours agoStatus: Live
Reposted: similar role first listed 6 months ago

Job Summary

Develop and manage complex care plans for members’ physical needs by assessing barriers to care and social determinants of health. Coordinate with providers, specialists, and community resources to address unmet needs, and deliver ongoing monitoring and follow-up to ensure progress toward service goals. Provide education to members and caregivers, maintain accurate care management documentation for regulatory compliance, and support timely access to needed services while offering feedback to leadership to improve care delivery.
Location: Michigan
Workplace: Remote
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Mid level

Key Responsibilities

  • •Assess members’ needs, barriers to accessing care, and social determinants of health to recommend and facilitate high-quality, cost-effective outcomes.
  • •Develop and maintain ongoing care/service plans and collaborate with providers and community resources to address unmet needs.
  • •Coordinate between members (and caregivers) and the care provider team to ensure person-centered care or services.
  • •Perform ongoing follow-up and monitoring of condition changes and progress toward care plan goals, updating plans as needed.
  • •Document and maintain member information and care management activities to ensure compliance with state, federal, and third-party payer regulators.

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.
  • •Must have an unrestricted Michigan RN license (state licensure and/or compact state licensure required).
Experience:2-4 yearsHealthcare
Education:Bachelor's in Nursing
Skills:Care coordinationAssessmentEducationComplianceProblem-solving
Licenses:RN - Registered Nurse (Michigan state licensure/unrestricted)RN - Registered Nurse (Compact state 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