Transforming Healthcare, One Person at a Time
At Centene, we're on a mission to revolutionize the healthcare landscape for our 28 million members. As a leading diversified healthcare organization, we're committed to delivering high-quality, cost-effective care that addresses the unique needs of our members. We're seeking an experienced Care Manager (RN) to join our team, working remotely with a focus on Bergen and/or Passaic County.
About Us
Centene is a dynamic organization that values diversity, inclusivity, and flexibility. We offer a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off, and holidays. Our flexible approach to work allows for remote, hybrid, field, or office work schedules, ensuring a great work-life balance.
Job Summary
As a Care Manager (RN), you will play a critical role in developing, assessing, and facilitating complex care management activities for members with primarily physical needs. You'll work closely with members, families, caregivers, and healthcare providers to create personalized care plans, identify barriers to care, and provide ongoing monitoring and support.
Key Responsibilities
- Evaluate member needs, barriers to care, and social determinants of health, focusing on member priorities and recommending plans for optimal outcomes
- Develop and implement ongoing care plans, identifying providers, specialists, and community resources to address member unmet needs
- Coordinate between members, families, caregivers, and healthcare providers to ensure person-centered care services
- Provide ongoing monitoring of member status and progress towards care plan goals
- Collaborate with members, caregivers, and providers to revise or update care plans as necessary
- Facilitate care management and collaborate with providers or specialists to ensure timely access to needed care or services
- Perform telephonic, digital, home, or site outreach to assess member needs and collaborate with resources
- Collect, document, and maintain member information and care management activities to ensure regulatory compliance
- Provide education to members and families on disease processes, care gaps, healthcare provider instructions, and healthcare benefits
- Provide feedback to leadership on opportunities to improve care and quality delivery
Essential Qualifications
To succeed in this role, you'll need:
- A Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
- 2-4 years of related experience in care management or a similar field
- RN - Registered Nurse - State Licensure and/or Compact State Licensure
- Strong clinical knowledge and experience working with diverse populations
- Excellent communication and interpersonal skills
- Ability to work independently and as part of a remote team
Preferred Qualifications
While not required, the following qualifications can enhance your application:
- Experience working with Medicaid or Medicare populations
- Knowledge of care management software and technology
- Certifications in care management, such as CCM or ACM
- Experience working in a remote or telephonic care management environment
Skills and Competencies
To excel as a Care Manager (RN), you'll need:
- Strong analytical and problem-solving skills
- Ability to prioritize and manage multiple cases simultaneously
- Effective communication and interpersonal skills
- Empathy and compassion when working with members and families
- Ability to work in a fast-paced, dynamic environment
Career Growth Opportunities
At Centene, we're committed to helping you grow your career. As a Care Manager (RN), you'll have opportunities to:
- Develop your clinical and care management skills
- Take on additional responsibilities and leadership roles
- Participate in training and professional development programs
- Collaborate with cross-functional teams to drive quality improvement initiatives
Work Environment and Company Culture
As a remote Care Manager (RN), you'll enjoy a flexible work environment that allows you to work from home or other remote locations. We're committed to fostering a culture of inclusivity, diversity, and respect, where you can thrive and grow.
Compensation and Benefits
We offer a comprehensive benefits package, including:
- Competitive pay: $55,100 - $99,000 per year
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off and holidays
- Flexible work schedules
Join Our Team!
If you're a compassionate and experienced Care Manager (RN) looking for a new challenge, we want to hear from you. Apply today to join our team and be part of transforming the healthcare landscape for our members.
Centene is an equal opportunity employer committed to diversity and inclusion. We welcome applications from qualified candidates, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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