Senior Care Manager (RN)

Meridian; Illinois; On-site; USD 73,000 - 133,000; Full time

Job summary

Meridian is seeking a passionate Senior Care Manager (RN) to enhance the quality of care for members in Peoria, Illinois. This on-site role requires strong case management skills and an active RN license, focusing on developing personalized care plans and collaborating with healthcare providers to ensure quality patient care. Join a leading organization dedicated to transforming community health through personalized support and innovative care strategies.

Benefits

Comprehensive benefits package

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• Active RN license in Illinois required.
• 4-6 years of related experience in healthcare.
• Experience in inpatient hospital settings preferred.

Responsibilities

• Assess, plan, and implement complex care management activities.
• Develop personalized care plans and educate members on services.
• Coordinate between members and healthcare providers.

Skills

Collaboration

Communication

Case Management

Utilization Management

Education

Degree from an Accredited School of Nursing

Bachelor's Degree in Nursing

Job description

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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.

On-Site RN Opportunity | Senior Care Manager – Peoria, IL

Are you a passionate RN with a strong background in case management or utilization management within an inpatient setting? Join our dedicated team at our Illinois Health Plan and make a real difference—right where care happens.

We're currently hiring a Senior Care Manager RN to work on-site at a hospital in the Peoria area.

Candidates must reside within 30 miles of Peoria.

What We’re Looking For

• Registered Nurse (RN) with active Illinois license
• Experience in case management and/or utilization review
• Previous work in an inpatient hospital environment is preferred
• Strong collaboration and communication skills
  
  

Position Purpose Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.

• Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs
• Coordinates and manages 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
• Monitors care plans / service plans and/or 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
• May identify problems/barriers for care management and appropriate care management interventions for escalated cases
• Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations
• Reviews referrals information and intake assessments to develop appropriate care plans/service plans
• May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
• Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed
• 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
• Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner
• May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness
• Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice
• Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success
• Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness
• 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 or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.

License/Certification

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

Pay Range $73,800.00 - $132,700.00 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

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care and Insurance

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