Care Manager (RN) - OB

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

Job summary

Centene Corp. is seeking a Care Manager (RN) to support OB programs remotely within Missouri. The role develops, assesses, and facilitates complex care management for pregnant members, with a Monday–Friday 8am–5pm schedule from home.

Requires RN license and a Bachelor’s degree in Nursing with 2–4 years of related experience. You will educate members and families, coordinate with providers, address social determinants, and ensure timely access to needed services while maintaining compliance.

Qualifications

• Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2–4 years of related experience.
• RN license in good standing per state requirements or compact licensure.

Responsibilities

• Assess member needs and barriers to accessing appropriate care.
• Develop and update care plans and service plans.
• Coordinate with providers, specialists, and community resources.
• Provide education to members and families about disease processes and care options.
• Monitor member status and progress toward goals; adjust plans as needed.
• Ensure compliant documentation and resource referrals.

Skills

Care coordination

Communication

Patient education

RN licensed

Education

Bachelor's degree in Nursing

RN license (state/compact)

Tools

EHR systems

Job description

## Care Manager (RN) - OBApply: Remote-MO: Full time: Posted Today: 1662541**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:** Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This role provides education and support to pregnant members. The work schedule is Monday - Friday, 8am - 5pm.* 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 requiredPay Range: $56,200.00 - $101,000.00 per year