RN Pediatric Supervisor, Care Management (RN)

Centene; United States; Remote; USD 85,000 - 159,000; Full time

Job summary

Join a leading health management organization as an RN Pediatric Supervisor. In this role, you will supervise the care management team, ensuring high-quality care delivery and compliance with regulations. You will also provide coaching, manage complex care cases, and support team growth.

Benefits

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• Graduate from an Accredited School of Nursing.
• 4+ years of related experience.
• Licensure as a Registered Nurse required.

Responsibilities

• Supervises care management team to ensure quality delivery.
• Monitors compliance with federal and state regulations.
• Provides guidance on escalated care cases.

Skills

Team Leadership

Compliance

Coaching

Education

Bachelor's degree or equivalent

Job description

RN Pediatric Supervisor, Care Management (RN)

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

This position is for our CMS (Children's Medical Services) population. Candidates must be an RN willing to work one of the following schedules:
Tuesday - Saturday, 8 hours per day
Wednesday - Saturday, 10 hours per day

Position Purpose: Supervises the care management team and the care management of members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management issues related to members or providers.

• Monitors and reviews care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements
• Assigns caseloads and work assignments to care management team based on state requirements, care management staff experience, and member needs
• Works with senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns
• Educates and provides resources for care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers
• Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones
• May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
• Provides coaching and guidance to care management team to improve member and provider experience and high-quality care
• Assists with onboarding, hiring, and training care management team members
• Leads and champions change within scope of responsibility
• Performs other duties as assigned
• Complies with all policies and standards

Candidates must be willing to work one of the following schedules:
Tuesday - Saturday, 8 hours per day
Wednesday - Saturday, 10 hours per day

Education/Experience: Requires Graduate from an Accredited School or Nursing or a Bachelor's degree and 4+ years of related experience.

License/Certification:

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

This position is for our CMS (Children's Medical Services) population. Candidates must be an RN willing to work one of the following schedules:
Tuesday - Saturday, 8 hours per day
Wednesday - Saturday, 10 hours per day

Position Purpose: Supervises the care management team and the care management of members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management issues related to members or providers.

• Monitors and reviews care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements
• Assigns caseloads and work assignments to care management team based on state requirements, care management staff experience, and member needs
• Works with senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns
• Educates and provides resources for care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers
• Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones
• May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
• Provides coaching and guidance to care management team to improve member and provider experience and high-quality care
• Assists with onboarding, hiring, and training care management team members
• Leads and champions change within scope of responsibility
• Performs other duties as assigned
• Complies with all policies and standards

Candidates must be willing to work one of the following schedules:
Tuesday - Saturday, 8 hours per day
Wednesday - Saturday, 10 hours per day

Education/Experience: Requires Graduate from an Accredited School or Nursing or a Bachelor's degree and 4+ years of related experience.

License/Certification:

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required

Pay Range: $85,300.00 - $158,100.00 per year

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. Total compensation may also include additional forms of incentives.

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

About the company

Centene Corporation is a publicly traded managed care company based in St.

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