RN Care Manager - Remote/Field Care Coordination

Meridian; Detroit (MI); Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Remote work option

Job summary

Centene is seeking a registered nurse care manager to develop, assess, and facilitate complex care management activities for primarily physical health needs of members. You will create personalized care plans, educate families, and coordinate with providers to address unmet needs.

The role requires up to 75% local travel in Wayne and Macomb counties, with the option to work remotely from home the remaining time. Mon–Fri, 8am–5pm; mileage reimbursement applies.

Qualifications

• Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required.

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 based on service assessment and plans
• 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

RN license

Nursing degree

2–4 years experience

Education

Bachelor's degree in Nursing

Degree from Accredited School of Nursing

Job description

Centene is seeking a registered nurse care manager to develop, assess, and facilitate complex care management activities for primarily physical health needs of members. You will create personalized care plans, educate families, and coordinate with providers to address unmet needs.

The role requires up to 75% local travel in Wayne and Macomb counties, with the option to work remotely from home the remaining time. Mon–Fri, 8am–5pm; mileage reimbursement applies.