Care Manager (RN)

Centene Corp.; Northern (KY); Hybrid; USD 56,000 - 101,000; Full time

Job summary

Centene Corp. is seeking a Care Manager (RN) for a remote Mississippi-based role. The candidate must hold an active RN license in Mississippi and have 2–4 years of related experience in care management or assessment.

The position focuses on developing personalized care plans, coordinating with providers, and ensuring member-centric care to achieve quality outcomes. The role involves education for members and families, monitoring progress, and collaborating with care teams to address barriers to

Qualifications

• Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2–4 years of related experience.
• Must possess an active RN license in the state of Mississippi and reside within Mississippi.
• Experience in assessment and case management is preferred.

Responsibilities

• Develops, assesses, and facilitates complex care management activities for members with primarily physical needs.
• Creates ongoing care plans and coordinates with providers, specialists, and community resources.
• Identifies barriers to care and provides interventions and support to ensure person-centered care.
• Coordinates between members, families, and care teams to ensure timely access to services.
• Provides education to members and families on disease processes, care options, and benefits.
• Maintains member information for regulatory compliance.
• Performs outreach via telephonic or digital means to assess needs and progress.
• Supports leadership with opportunities to improve care delivery in a cost-effective manner.

Skills

RN license

Education

Bachelor's degree in Nursing

Accredited Nursing Degree

Job description

## Care Manager (RN)Apply: Remote-MS: Full time: Posted Today: 1659017**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 possess an active Registered Nurse (RN) license in the state of Mississippi and reside within Mississippi. Candidates with assessment and case management experience are preferred.* 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**Must live and be licensed in Mississippi.**Pay Range: $56,200.00 - $101,000.00 per year