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Care Manager (RN) - Bergen and/or Passaic County

RemoteWorker US

Bloomingdale (NJ)

On-site

USD 55,000 - 99,000

Full time

2 days ago

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Job summary

A leading company in healthcare is seeking a Care Manager (RN) to join their team in Bergen and/or Passaic County. The role involves developing personalized care plans, assessing member needs, and coordinating with various healthcare providers. Candidates should possess a nursing degree and RN licensure along with relevant experience. This position offers a competitive salary and comprehensive benefits.

Benefits

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work schedules

Qualifications

2 – 4 years of related experience in nursing or case management.
Required RN licensure in the relevant state.

Responsibilities

Develops and assesses care management activities for members.
Coordinates care between members and providers to ensure quality services.
Monitors member status and updates care plans as necessary.

Skills

Care Management

Patient Education

Assessment Skills

Education

Degree from an Accredited School of Nursing

Bachelor's Degree in Nursing

Care Manager (RN) - Bergen and/or Passaic County

Join to apply for the Care Manager (RN) - Bergen and/or Passaic County role at RemoteWorker US

Care Manager (RN) - Bergen and/or Passaic County

2 days ago Be among the first 25 applicants

Join to apply for the Care Manager (RN) - Bergen and/or Passaic County role at RemoteWorker US

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.

Must reside in Bergen and/or Passaic County to travel for home visits within these regions. Travel up to 75% required.

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 the plan for the best outcome
Develops ongoing care plans / service plans and identifies providers, specialists, and/or community resources to address member's unmet needs
Identifies barriers to care and provide appropriate care management interventions
Coordinates between the member, family/caregivers, and the care provider team to ensure members are receiving adequate and appropriate person-centered care services
Provides ongoing monitoring of member status and progress towards care plan
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 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
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

Seniority level

Seniority level
Entry level

Employment type

Employment type
Full-time

Job function

Job function
Health Care Provider
Industries
Staffing and Recruiting

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