Care Manager (RN)

Centene Corp.; Kentucky; À distance; USD 65 000 - 90 000; Plein temps

Résumé du poste

Centene Corp. is seeking a Remote Care Manager (RN) in Kentucky to develop and manage individualized, cost-effective care plans for members with complex needs. You will coordinate with providers, educate families, and monitor progress to ensure high-quality outcomes.

The role requires an active RN license (Kentucky or compact), 2–4 years of relevant experience, and a focus on patient-centered care delivered via telephonic or digital outreach where appropriate.

Qualifications

• Requires RN license in Kentucky (or compact state)
• 2–4 years of related care management experience
• Experience in medical-surgical, inpatient, home health, or outpatient care management environments

Responsabilités

• Develops and facilitates complex care management plans and service plans.
• Collaborates with providers to identify resources and address unmet needs.
• Provides education to members and families about disease processes, care options and benefits.
• Monitors member status, adjusts care plans, and follows up on outcomes.
• Coordinatesthe care between member, family, and care team to ensure person-centered care.
• Provides access to local resources and social determinants of health support; may include telephonic or home outreach.

Connaissances

Care coordination

Patient education

Communication

Telephonic outreach

Formation

Bachelor's degree in Nursing

Description du poste

## Care Manager (RN)Apply: Remote-KY: Full time: Posted Today: 1665833**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:** Preference will be given to applicants who **(1) reside in eastern or central time zone,** (2) have an active Kentucky State or Compact RN license as well as (3) experience with medical-surgical or other inpatient units, or clinical outpatient settings such as home health, or care management. The schedule is Monday through Friday, 8-5 PM CT or ET. * 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 **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.