Hybrid RN Care Manager – Remote/Travel Support

Centene Management Company LLC; Michigan; Hybrid; USD 75,000 - 135,000; Full time

Benefits offered by this job

Health insurance

401K and stock plans

Tuition reimbursement

Paid time off + holidays

Flexible work arrangements

Job summary

Centene is seeking a Registered Nurse Care Manager to assess, plan, and coordinate complex care for members across Michigan communities. The role emphasizes personalized care plans, collaboration with providers, and education for members and families.

The position allows remote work with up to 75% local travel in Wayne and Macomb counties, typical schedule Monday through Friday, 8am–5pm, and reimbursement for mileage. Requires valid RN licensure and 4–6 years of related experience.

Qualifications

• Requires RN licensure and 4–6 years of related experience.
• Bachelor's degree in Nursing or an accredited nursing degree with 4–6 years of experience.

Responsibilities

• Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs
• Coordinates and manages 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
• Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborates with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary
• May identify problems/barriers for care management and appropriate interventions for escalated cases
• Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations
• Reviews referrals information and intake assessments to develop appropriate care plans/service plans
• May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
• Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed
• 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
• Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner
• May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness
• Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice
• Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success
• Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness
• Other duties or responsibilities as assigned by people leader to meet business needs
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Care coordination

Patient education

Nursing

Education

RN license

Bachelor's degree in Nursing

Job description

Centene is seeking a Registered Nurse Care Manager to assess, plan, and coordinate complex care for members across Michigan communities. The role emphasizes personalized care plans, collaboration with providers, and education for members and families.

The position allows remote work with up to 75% local travel in Wayne and Macomb counties, typical schedule Monday through Friday, 8am–5pm, and reimbursement for mileage. Requires valid RN licensure and 4–6 years of related experience.