Care Manager (RN)

Centene Corp.; Georgia; Hybrid; USD 56,000 - 101,000; Full time

Job summary

Centene Corp. is seeking a Care Manager (RN) to remotely support members in Georgia. The role focuses on developing and coordinating complex care plans, collaborating with providers and community resources to address unmet needs, and educating members and their families on disease processes and care options.

Requires RN licensure and a nursing degree with 2–4 years of related experience. The position is fully remote but requires Georgia residency and eligibility for state licensure verification.

Qualifications

• Requires RN licensure and a nursing degree with 2–4 years of related experience.

Responsibilities

• Develops, assesses, and facilitates complex care management for members' physical needs.
• Coordinates with providers and community resources to address unmet needs and care gaps.
• Provides education to members and families on disease processes and care options.
• Maintains member information and ensures regulatory compliance.

Skills

Care management

RN (Registered Nurse)

Education/ patient education

Education

Degree from an Accredited School of Nursing

Bachelor's degree in Nursing

Tools

Telehealth platforms

Care coordination tools

Job description

## Care Manager (RN)Apply: Remote-GA: Full time: Posted Today: 1663243**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 reside in the state of Georgia. Med/Surg experience highly preferred.* 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