Care Manager (RN)

RemoteWorker US; Olive Branch (MS); Remote; USD 55,000 - 99,000; Full time

Job summary

A leading healthcare company seeks a Care Manager (RN) to develop personalized care plans and evaluate needs for members in Olive Branch, MS. The ideal candidate will possess an RN license and relevant experience, ensuring high-quality, cost-effective healthcare outcomes through effective resource coordination and care management.

Benefits

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Flexible work schedules

Qualifications

• Requires RN license and 2-4 years related experience.
• Experience with foster care and behavioral health preferred.

Responsibilities

• Develop and facilitate complex care management activities.
• Evaluate member needs and propose care plans.
• Coordinate with members and providers for appropriate care.

Skills

Care management

Patient evaluation

Resource coordination

Care planning

Communication

Education

Degree from an Accredited School of Nursing

Bachelor's degree in Nursing

Job description

Join to apply for the Care Manager (RN) role at RemoteWorker US

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 provides 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; collaborates 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
• Facilitates care management and collaborates 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

Additional Details

• Experience with foster care and behavioral health preferred
• 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 flexible work schedules (remote, hybrid, field, or office).
• Equal opportunity employer committed to diversity. Consideration given to qualified applicants regardless of background.

Job Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: Staffing and Recruiting

Get notified about new Care Manager jobs in Olive Branch, MS.