Remote RN Care Manager: Personalized Care Plans

Centene Corporation; Clayton (MO); 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 plus holidays

Flexible work schedule (remote/hybrid/

Job summary

Centene Corporation in Missouri is seeking a registered nurse to develop, assess, and facilitate complex care management activities for members, delivering personalized care plans and education to families. The role supports pregnant members and allows remote work from anywhere within Missouri, with a Monday–Friday 8am–5pm schedule.

You will collaborate with providers, monitor progress, identify barriers to care, and ensure timely access to services, while maintaining compliance and contributing

Qualifications

• RN licensure in Missouri is required.
• Degree from an accredited school of nursing; BSN preferred.
• 2–4 years of related care management experience.

Responsibilities

• 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

Skills

Care management

Member education

Communication

Education

Bachelor's degree in Nursing

Job description

Centene Corporation in Missouri is seeking a registered nurse to develop, assess, and facilitate complex care management activities for members, delivering personalized care plans and education to families. The role supports pregnant members and allows remote work from anywhere within Missouri, with a Monday–Friday 8am–5pm schedule.

You will collaborate with providers, monitor progress, identify barriers to care, and ensure timely access to services, while maintaining compliance and contributing