Care Manager (RN) - Northern NJ

RemoteWorker US; Ramsey (NJ); Hybrid; USD 55,000 - 99,000; Full time

Job summary

RemoteWorker US is seeking a Care Manager (RN) to develop and facilitate care plans for members in Northern NJ. This role requires significant travel, evaluating member needs, and ensuring access to appropriate care services. Excellent communication and nursing skills are essential, with various benefits provided including competitive pay and a flexible work environment.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Qualifications

• Requires 2 – 4 years of related experience.
• Must have RN - Registered Nurse - State Licensure.
• Experience with telephonic and digital outreach.

Responsibilities

• Develops, assesses, and facilitates complex care management activities.
• Coordinates between member and care provider for person-centered care.
• Monitors member status towards care plans.

Skills

Care Management

Communication

Problem Solving

Patient Care

Education

Degree from an Accredited School of Nursing

Bachelor's degree in Nursing

Job description

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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.

Multiple positions open for Bergen, Essex, Hudson, Morris, Passaic, Sussex, and Warren counties. 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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