Care Manager (RN)

Centene Corporation; Columbus (OH); Remote; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401(k) and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Remote, hybrid, field or office work S

Job summary

Centene Corporation is seeking a registered nurse for remote care management in Ohio. The role focuses on assessing needs, building care plans, and coordinating with providers to ensure high-quality, patient-centered care.

Responsibilities include ongoing follow-up, resource linkage, and education for members and families. Travel to member sites may be required, with an emphasis on compliant, equitable care delivery.

Qualifications

• Requires degree from an accredited school of nursing or a BSN with 2–4 years of related experience.
• RN state licensure required; compact licensure accepted.
• Authorized to work in the U.S. without visa sponsorship now or in the future.

Responsibilities

• Evaluates member needs and barriers to care and develops person-centered plans.
• Develops ongoing care plans and collaborates with providers to identify resources.
• Identifies problems/barriers to care and initiates interventions.
• Coordinates between member/family and care team for appropriate services.
• Provides follow-up and monitoring to adjust care plans as needed.
• Provides resource support for local services based on assessments.
• Facilitates care management with providers to ensure timely access to care.
• May perform telephonic, digital, home, or on-site outreach to assess needs.
• Collects, documents, and maintains member information to ensure compliance.
• Delivers education to members and families on disease processes and care options.
• Provides feedback to leadership on opportunities to improve care delivery.
• Performs other duties and complies with policies.

Skills

Care coordination

Member education

Communication

Nursing assessment

Education

RN degree

Job description

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:

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

This is a remote role based in Ohio. Candidates must reside within designated Ohio counties to be eligible for consideration, as the position requires local travel and in-person member visits.

• 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 required

Pay 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
• 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