Pediatric Care Manager RN - Remote (NC)

Carolina Complete Health; North Carolina; Remote; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Remote, hybrid, field or office work

Job summary

Centene is seeking a Care Manager to provide complex care management for pediatric members. The role requires an active RN license and residency in North Carolina, with the position offered as remote.

You will assess needs, develop care plans, coordinate with providers, and support families to achieve optimal health outcomes. Responsibilities include conducting assessments, creating service plans, and ensuring compliance while collaborating with other care managers.

Qualifications

• Active RN license is required.
• Experience in pediatric care management preferred.
• Bachelor's degree in Nursing or RN with related experience.

Responsibilities

• Provide complex care management for pediatric members.
• Develop and update care plans and connect to resources.
• Perform assessments, screenings, and follow-up.
• Coordinate among families, caregivers, and care providers.
• Support other care managers with guidance on complex cases.
• Document all care management activities for compliance.
• Remain compliant with state and payer regulations.

Skills

Pediatric care management

RN collaboration

Documentation

Education

Nursing degree (RN)

Tools

EHR experience

Job description

Centene is seeking a Care Manager to provide complex care management for pediatric members. The role requires an active RN license and residency in North Carolina, with the position offered as remote.

You will assess needs, develop care plans, coordinate with providers, and support families to achieve optimal health outcomes. Responsibilities include conducting assessments, creating service plans, and ensuring compliance while collaborating with other care managers.