Maternal Child Health - RN Care Manager

Iowa Total Care; Des Moines (IA); Remote; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Holidays

Flexible scheduling

Job summary

Centene is seeking a licensed RN to develop and coordinate complex care management for pregnant members in Iowa. This remote role focuses on Start Smart for Your Baby, requires Iowa residency and an active RN license, and emphasizes prenatal and post-partum maternal health.

You will assess needs, create care plans, connect members with providers and community resources, and monitor progress while ensuring compliant documentation.

Qualifications

• Requires a degree from an accredited nursing program and 2–4 years of related experience.
• Active RN licensure in Iowa or a compact state.
• Experience with case management and prenatal/postpartum maternal health preferred; OB/NICU experience is a bonus.

Responsibilities

• Evaluates member needs and barriers to care, and supports care plan development.
• Develops care/service plans and coordinates with providers to address unmet needs.
• Identifies problems and provides appropriate care management interventions.
• Coordinates between member/family and care team to ensure person-centered care.
• Provides ongoing follow-up, monitors status, and revises care plans as needed.
• Offers resource support for local services (housing, employment, etc.).
• Facilitates timely access to needed care by coordinating with providers.
• Performs outreach via calls, telehealth, or home visits as needed.
• Documents all activities to ensure regulatory compliance and quality standards.
• Provides education to members and families about care options and benefits.
• Offers feedback to leadership to improve care delivery and cost-efficiency.
• Performs other duties as assigned and complies with policies.

Skills

Case management

RN licensure

Communication

Care planning

Education

Bachelor of Science in Nursing

ADN/ASN nursing degree

Tools

Electronic Health Records

Job description

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: This fully remote role involves completing case management related tasks for pregnant members in the state of Iowa for their "Start Smart for Your Baby" case management program. Preference will be given to applicants who (1) reside in Iowa, (2) have an Active Iowa RN license as well as (3) experience with case management and prenatal / post-partem maternal health. Experience with OB or NICU is a bonus. The schedule is Monday through Friday, 8-5 PM CT.

• 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 required

Pay Range: $56,200.00 - $101,000.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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