Care Manager (RN)

Centene Corp.; North Olmsted (OH); Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work schedules

Job summary

Centene Corp. is seeking a Remote Care Manager (RN) based in Ohio to assess, develop, and coordinate comprehensive care plans for members with complex needs. The role requires an RN license and Ohio residency with local travel for in-person visits when needed.

The position entails educating members and families, coordinating with providers, tracking progress, and adjusting plans to improve outcomes, all while ensuring compliance with regulations and company policies.

Qualifications

• Requires degree from an accredited school of nursing or a Bachelor's degree in Nursing with 2–4 years of related experience.
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required.
• Authorized to work in the U.S. without visa sponsorship now or in the future.

Responsibilities

• Evaluates member needs and barriers to care and facilitates a person-centered plan.
• Develops ongoing care/service plans and coordinates with providers to address unmet needs.
• Identifies problems/barriers to care and applies appropriate care management interventions.
• Coordinates between member/family and care provider team to ensure appropriate, person-centered care.
• Provides ongoing follow-up and monitoring, revising care plans as needed to meet goals.
• Provides resource support for local services (employment, housing, independent living, etc.)
• Facilitates care management with providers to ensure timely access to needed care
• Performs telephonic, digital, home or site outreach to assess needs
• Collects and maintains member information to ensure compliance with state/federal and payer requirements
• Delivers education to members and families on disease processes, care options, and benefits
• Provides feedback to leadership to improve care delivery and cost effectiveness
• Performs other duties as assigned by leader to meet business needs
• Complies with all policies and standards

Skills

Care management

Nursing

Communication

Education

Education

RN licensed / BSN with RN licensure

Job description

## Care Manager (RN)Apply: Remote-OH: Full time: Posted Today: 1652879**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 be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.This is a remote role based in Ohio. Candidates must reside within designated Ohio counties to be eligible for consideration, as the position requires local travel and in-person member visits.* 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 **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.