CARE MANAGER (RN)

Meridian Illinois; Illinois; Remote; USD 55,000 - 99,000; Full time

Job summary

A leading healthcare organization is seeking a care manager to develop and facilitate care management activities for members in Illinois. This remote position requires an RN with a nursing degree and offers a competitive salary along with comprehensive benefits. The role involves coordinating care, developing personalized care plans, and providing education to members and their families.

Benefits

Sign-on bonus

Comprehensive benefits package

Flexible work schedules

Tuition reimbursement

Qualifications

• Requires RN licensure and 2-4 years of related experience.
• Must reside in specified Illinois ZIP codes.

Responsibilities

• Develops and facilitates care management activities for members.
• Coordinates care between members, families, and providers.
• Provides education on disease processes and care gaps.

Skills

Care management

Communication

Problem-solving

Education

Degree from an Accredited School of Nursing

Bachelor's degree in Nursing

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

SIGN ON BONUS BEING OFFERED!

THIS POSITION IS REMOTE / WORK FROM HOME WITH 25% TRAVEL IN THE ASSIGNED AREA OF COOK COUNTY, ILLINOIS, TO SUPPORT OUR YOUTHCARE / FOSTER CARE PROGRAM.

APPLICANTS MUST RESIDE IN ONE OF THE FOLLOWING ILLINOIS ZIP CODES:

60601, 60602, 60603, 60604, 60605, 60606, 60607, 60608, 60609, 60611, 60612, 60613, 60614, 60618, 60622, 60624, 60625, 60626, 60631, 60634, 60639, 60640, 60641, 60642, 60644, 60645, 60646, 60647, 60651, 60654, 60656, 60657, 60659, 60660, 60661, 60666, 60668, 60670, 60673, 60674, 60675, 60677, 60678, 60680, 60681, 60682, 60684, 60685, 60687, 60688, 60690, 60691, 60693, 60694, 60699, 60701.

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.

• 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 provides appropriate care management interventions.
• Coordinates between the member, family/caregivers, and care provider team to ensure members receive appropriate, person-centered care or services.
• Provides ongoing follow-up and monitoring of member status, changes in condition, and progress towards care plan goals; collaborates with members, caregivers, and providers to revise or update plans as needed.
• Provides resource support to members and care managers for local services (e.g., employment, housing, independent living, justice, foster care).
• Facilitates care management and collaborates with providers to ensure timely access to needed care or services.
• May perform outreach via telephonic, digital, home, or other sites to assess needs and collaborate with resources.
• Maintains all member information and care activities to ensure compliance with regulations.
• Provides education to members and families on disease processes, care gaps, provider instructions, and healthcare benefits.
• Offers feedback to leadership for quality improvement.
• Performs other duties as assigned to meet business needs, adhering to policies and standards.

Education / Experience : Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing with 2–4 years of related experience.

License / Certification :

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

Pay Range : $55,100.00 - $99,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work schedules (remote, hybrid, field, or office).

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Applicants with arrest or conviction records will be considered in accordance with applicable laws.