Care Manager (RN) - Southern NJ

RemoteWorker US; Clayton (NJ); Remote; USD 55,000 - 99,000; Full time

Job summary

A leading organization in healthcare is seeking a Care Manager (RN) for Southern NJ to provide high-quality, cost-effective healthcare solutions to 28 million members. This role requires collaboration with providers and families, development of personalized care plans, and the application of care management expertise across multiple counties, with a significant travel requirement.

Benefits

Health Insurance

401K and Stock Purchase Plans

Tuition Reimbursement

Paid Time Off plus Holidays

Flexible Work Schedules

Qualifications

• Requires RN state licensure.
• 2-4 years of related experience in nursing is essential.
• Ability to provide patient-centered care.

Responsibilities

• Develops and assesses care management activities.
• Coordinates care plans involving various stakeholders.
• Monitors member progress and adjusts care plans as necessary.

Skills

Care Management

Patient Education

Coordination of Care

Education

Degree from an Accredited School of Nursing or Bachelor's degree in Nursing

Job description

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Join to apply for the Care Manager (RN) - Southern NJ 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.

Multiple positions open for Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, and Salem 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.