Care Manager (RN)

Carolina Complete Health; North Carolina; Remote; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Remote, hybrid, field or office work

Job summary

Centene is seeking a Care Manager to provide complex care management for pediatric members. The role requires an active RN license and residency in North Carolina, with the position offered as remote.

You will assess needs, develop care plans, coordinate with providers, and support families to achieve optimal health outcomes. Responsibilities include conducting assessments, creating service plans, and ensuring compliance while collaborating with other care managers.

Qualifications

• Active RN license is required.
• Experience in pediatric care management preferred.
• Bachelor's degree in Nursing or RN with related experience.

Responsibilities

• Provide complex care management for pediatric members.
• Develop and update care plans and connect to resources.
• Perform assessments, screenings, and follow-up.
• Coordinate among families, caregivers, and care providers.
• Support other care managers with guidance on complex cases.
• Document all care management activities for compliance.
• Remain compliant with state and payer regulations.

Skills

Pediatric care management

RN collaboration

Documentation

Education

Nursing degree (RN)

Tools

EHR experience

Job description

The Care Manager will provide complex, high-risk care management for pediatric members. Responsibilities include conducting assessments, developing care plans, completing screenings, and connecting members with appropriate resources. The Care Manager will also support other Care Managers by answering questions and providing guidance on complex cases.

Candidates must have experience in pediatric care management and hold an active Registered Nurse (RN) license.

Candidates must reside in North Carolina. This is a remote position.

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: $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.