Care Manager (RN)

Centene Corporation; Kansas; Hybrid; USD 55,000 - 99,000; Full time

Job summary

An innovative healthcare organization is seeking a dedicated Hybrid Care Manager RN to transform the health of communities. This role involves developing personalized care plans and facilitating complex care management activities for pediatric populations. With a focus on collaboration and member-centered care, you will engage with families and providers to ensure high-quality healthcare outcomes. Enjoy a flexible work environment with competitive benefits and the opportunity to make a significant impact on the lives of many. Join a team that values diversity and is committed to improving healthcare for all.

Benefits

Health Insurance

401K

Tuition Reimbursement

Paid Time Off

Flexible Work Schedule

Stock Purchase Plans

Qualifications

• 2-4 years of related nursing experience required.
• Must have RN state licensure.

Responsibilities

• Develop and facilitate complex care management activities.
• Coordinate care plans and collaborate with providers.
• Evaluate member needs and barriers to care.

Skills

Pediatric Care

Case Management

Care Coordination

Telephonic Outreach

Patient Education

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.

Hybrid Opportunity in Kansas!

Centene is seeking a Hybrid Care Manager RN to join our Sunflower Plan team. The ideal candidate will have experience working with pediatric populations in PICU, NICU, or home health settings. Additionally, case management experience in a managed care or clinical setting is essential.

This position will require 25% travel throughout the year within the Topeka, Coffey, Chase, Shawnee County, and surrounding areas.

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 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: $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 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. Total compensation may also include additional forms of incentives.

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