Care Manager (RN)

Centene Corp.; Arkansas; Remote; USD 56,000 - 101,000; Full time

Benefits offered by this job

Remote work options

Flexible schedules

Competitive pay

Job summary

Centene Corp. is seeking a Care Manager (RN) to coordinate and optimize care for members with physical health needs. This remote role supports Arkansas-based populations and requires a nursing degree with an active RN license.

The position emphasizes personalized care planning, education, and collaboration with providers. Ideal candidates will have 2–4 years in care management, strong clinical judgment, and proficiency with Microsoft Office and electronic health records.

Qualifications

• RN with strong clinical judgment and disease management experience.
• Experience conducting member outreach and coordinating care.
• Proficiency in Microsoft Office and navigating electronic health records.

Responsibilities

• Develops and coordinates comprehensive care plans.
• Outreaches to members and supports enrollment in programs.
• Coordinates with providers and community resources to address needs.
• Monitors member status and revises care plans as needed.
• Educates members and families about care options and benefits.

Skills

Clinical judgment

Disease management

Member outreach

Care coordination

Education

Bachelor's degree in Nursing

RN licensure

Tools

Microsoft Office

Electronic Health Records

Job description

Care Manager (RN)### Care Manager (RN)Apply: Remote-AR: Full time: Posted Today: 1672001**Position Purpose:** 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. **Key Details:** This role is responsible for member outreach, case management enrollment, ongoing member management, and participation in clinical rounds. The ideal candidate will have disease management experience, strong clinical judgment, Microsoft proficiency, and a background in physical health case management. Hospice or home health experience is preferred, and maternity experience is helpful. * Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome* Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs* Identifies problems/barriers to care and provide appropriate care management interventions* Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services* Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs* Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate* Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services* May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources* Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators* Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits* Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner* Other duties or responsibilities as assigned by people leader to meet business needs* Performs other duties as assigned.* Complies with all policies and standards.**Education/Experience:** Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience. **License/Certification:*** RN - Registered Nurse - State Licensure and/or Compact State Licensure requiredPay Range: $56,200.00 - $101,000.00 per year **At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day.** You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act