[Hiring] Care Manager @Centene Corporation

Role Description

Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

• Join Centene as a remote Care Management (RN), supporting our MHS Wisconsin plan.
• Support our Start Smart for Baby program.
• Evaluate the needs of the member, barriers to accessing appropriate care, and social determinants of health needs.
• Develop ongoing care plans/service plans and collaborate with providers to identify resources to address member's unmet needs.
• Identify problems/barriers to care and provide appropriate care management interventions.
• Coordinate between the member, family/caregivers, and care provider team to ensure adequate person-centered care.
• Provide ongoing follow-up and monitoring of member status and progress towards care plan/service plan goals.
• Provide resource support to members and care managers for local resources based on service assessment and plans.
• Facilitate care management and collaborate with providers to ensure timely access to needed care or services.
• May perform telephonic, digital, home, and/or other site outreach to assess member needs.
• Collect, document, and maintain all member information and care management activities to ensure compliance with regulations.
• Provide and/or facilitate education to members and their families/caregivers on various healthcare topics.
• Provide feedback to leadership on opportunities to improve care and quality delivery.
• Perform other duties as assigned by people leader to meet business needs.
• Comply with all policies and standards.

Qualifications

• Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing.
• 2 – 4 years of related experience.

Requirements

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible approach to work with remote, hybrid, field, or office work schedules.