Care Manager (RN)

Centene Corp.; Tennessee; Remote; USD 55,000 - 99,000; Full time

Job summary

Centene Corp. seeks a Remote Care Manager RN to support their Ambetter Marketplace members in Tennessee, North Carolina, or Georgia. Ideal candidates possess a nursing degree with significant experience in case management. The role focuses on individualized member care and ensuring appropriate health services are received promptly, all from a remote environment.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible approach to work

Qualifications

• Must hold a compact RN license.
• 2-4 years related experience required.
• Candidates must be passionate about improving patient outcomes.

Responsibilities

• Develops and facilitates complex care management activities.
• Evaluates member's needs and coordinates care.
• Provides ongoing follow-up and monitoring of member status.

Skills

Case management

Home health

Managed care

Education

Degree from an Accredited School of Nursing

Bachelor's degree in Nursing

Job description

time left to apply End Date: June 5, 2025 (11 hours left to apply)

job requisition id 1572738

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Now Hiring: Remote Care Manager RNs IN Tennessee, North Carolina or Georgia – Join Centene’s Ambetter Marketplace Team!

Centene is expanding our team and currently hiring a Remote Care Manager RNs to support our Ambetter Marketplace members.

If you’re passionate about improving patient outcomes and thrive in a collaborative, remote environment, we want to hear from you!

What We’re Looking For:

Registered Nurses with experience in case management, home health, or managed care

Candidates who reside in an North Carolina, Tennessee and Georgia and work an Eastern Time Zone.

Must hold a compact RN license.

Join a mission-driven organization that values innovation and compassion. Make a meaningful impact from the comfort of your home!

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

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Now Hiring: Remote Care Manager RNs IN Tennessee, North Carolina or Georgia – Join Centene’s Ambetter Marketplace Team!

Centene is expanding our team and currently hiring a Remote Care Manager RNs to support our Ambetter Marketplace members.

If you’re passionate about improving patient outcomes and thrive in a collaborative, remote environment, we want to hear from you!

What We’re Looking For:

• Registered Nurses with experience in case management, home health, or managed care

• Candidates who reside in an North Carolina, Tennessee and Georgia and work an Eastern Time Zone.

• Must hold a compact RN license.

Join a mission-driven organization that values innovation and compassion. Make a meaningful impact from the comfort of your home!

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: $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 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. Total compensation may also include additional forms of incentives.

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

Welcome

Thanks for your interest in Centene and its subsidiary companies.We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose.Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email [e-mail] .

About Us

Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.