Care Manager

4 weeks ago

PALOS VERDES ESTATES, United States Centene Full time

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.

Monday-Friday - Primarily 8am-5pm PST but will be required to work 9am-6pm & 10am-7pm approximately 2-4 times monthly.

Must have an active California state RN license. Compact license is preferred.

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

  • 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
Education/Experience: Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.

License/Certification:
  • Current state’s Registered Nurse (RN) license required
Pay Range: $25.97 - $46.68 per hour

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.

  • Manager, Ethics

    1 month ago

    PALOS VERDES ESTATES, United States Health Net Full time

    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. **REMOTE POSITION – MUST BE IN CALIFORNIA within driving distance...

  • Manager, Client Relationship Support- Torrance, CA

    2 weeks ago

    Palos Verdes Estates, United States Charles Schwab Full time

    Position Type: RegularYour opportunity Your opportunity At Schwab, you’re empowered to make an impact on your career. Here, innovative thought meets creative problem solving, helping us “challenge the status quo” and transform the finance industry together. As a Client Relationship Manager, (CRM), you play an essential and impactful leadership role...

  • Clinical Nurse Manager

    1 week ago

    Palos Verdes Estates, California, United States Quality Talent Group Full time

    Position: Clinical Nurse ManagerQuality Talent Group is a prominent provider in the home healthcare sector, dedicated to delivering exceptional care across various communities. We are currently seeking a Clinical Nurse Manager to enhance our clinical operations. This role offers a unique opportunity to guide and mentor our nursing staff while ensuring the...

  • Physical Therapy Assistant

    7 days ago

    Palos Verdes Estates, United States Omni Therapy Full time

    Job DescriptionJob DescriptionPhysical Therapy Assistant (PTA) for Home HealthOmni Therapy in Palos Verdes, Ca.$63-$65 per visitProfessional Opportunity Details: Omni Therapy is looking for a contract Physical Therapy Assistant (PTA) to treat patients in their homes in Palos Verdes, Ca.Did You Know?Omni Therapy gives you complete control over your work...

  • Physical Therapy Assistant

    1 month ago

    Palos Verdes Estates, United States Omni Therapy Full time

    Job DescriptionJob DescriptionPhysical Therapy Assistant (PTA) for Home HealthOmni Therapy in Palos Verdes, Ca.$63-$65 per visitProfessional Opportunity Details: Omni Therapy is looking for a contract Physical Therapy Assistant (PTA) to treat patients in their homes in Palos Verdes, Ca.Did You Know?Omni Therapy gives you complete control over your work...

  • Maintenance Director

    2 months ago

    Palos Verdes Estates, United States Peninsula Pointe Full time

    Job DescriptionJob DescriptionPeople taking care of people, that's who we are and what we do at Cogir Senior Living!What to expect...Cogir Senior Living is hiring an experienced, diligent, and customer-focused Maintenance Director in our brand-new, premier retirement community Peninsula Pointe.Our Maintenance Director will be responsible for the...

  • Provider Engagement Specialist

    1 week ago

    PALOS VERDES ESTATES, United States Health Net Full time

    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. Must live in or near San Bernadino County (Southern CA). Must be...

  • Maintenance Tech/Transportation Driver

    3 months ago

    Palos Verdes Estates, United States Peninsula Pointe Full time

    Job DescriptionJob DescriptionPeople taking care of people, that's who we are and what we do at Cogir Senior Living!What to expect...Cogir Senior Living, formerly Cadence, is hiring an experienced, friendly, and customer service-oriented Maintenance Technician in our beautiful retirement community Peninsula Pointe.Our Maintenance Technician is...

  • Maintenance Tech/Transportation Driver

    3 months ago

    Palos Verdes Estates, United States Peninsula Pointe Full time

    Job DescriptionJob DescriptionPeople taking care of people, that's who we are and what we do at Cogir Senior Living!What to expect...Cogir Senior Living, formerly Cadence, is hiring an experienced, friendly, and customer service-oriented Maintenance Technician in our beautiful retirement community Peninsula Pointe.Our Maintenance Technician is...

  • Youth Mental Health Tech: Wednesday-Sunday AM

    3 months ago

    Palos Verdes Estates, United States AMFM Healthcare Full time

    Job DescriptionJob DescriptionMission Prep is looking for Community Coordinators to provide superior care for our adolescent clients at our Residential Mental Health facility in Rancho Palos Verdes, CA. Mission Prep is AMFM Healthcare's residential program tailored for the healthcare of the adolescent population (ages 12-17) suffering from mental health...

  • Youth Mental Health Tech: Tuesday-Saturday SWING

    3 months ago

    Palos Verdes Estates, United States AMFM Healthcare Full time

    Job DescriptionJob DescriptionMission Prep is looking for Community Coordinators to provide superior care for our adolescent clients at our Residential Mental Health facility in Rancho Palos Verdes, CA. Mission Prep is AMFM Healthcare's residential program tailored for the healthcare of the adolescent population (ages 12-17) suffering from mental health...

  • Senior Clinical Assistant

    2 weeks ago

    Palos Verdes Estates, California, United States UCLA Health Full time

    Job OverviewPosition SummaryJoining UCLA Health provides a unique opportunity to leverage your specialized skills to enhance the well-being of our patients, their families, and your colleagues within the UCLA Health community. In this role, you will play a vital part in facilitating the healing process.As a Senior Clinical Assistant, your key duties will...

  • Housekeeper

    3 months ago

    Palos Verdes Estates, United States Peninsula Pointe Full time

    Job DescriptionJob DescriptionPeople taking care of people, that's who we are and what we do at Cogir Senior Living!What to expect...Cogir Senior Living is hiring dedicated, energetic, and friendly Housekeepers in our brand-new, premier retirement community Peninsula Pointe.Our Housekeeper is responsible for a variety of cleaning activities such as...

  • Youth Mental Health Coordinator

    3 days ago

    Palos Verdes Estates, United States AMFM Healthcare Full time

    Job SummaryAMFM Healthcare is seeking a compassionate and skilled Community Coordinator to join our team at our Residential Mental Health facility in Rancho Palos Verdes, CA. As a Community Coordinator, you will play a vital role in providing superior care for our adolescent clients, supporting their mental health and well-being throughout their treatment...

  • Provider Engagement Account Executive

    1 day ago

    PALOS VERDES ESTATES, United States Health Net Full time

    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. Position Purpose: Develop strategic partnerships between the health...

  • Cook - Senior Living

    3 months ago

    Palos Verdes Estates, United States Peninsula Pointe Full time

    Job DescriptionJob DescriptionPeople taking care of people, that's who we are and what we do at Cogir Senior Living!What to expect...Cogir Senior Living is hiring talented, energetic, and friendly Cooks to join the team in our brand-new, premier retirement community Peninsula Pointe.As a Cook, you will have the opportunity to connect with, and positively...

  • Pediatric Patient Care Specialist

    2 days ago

    Rancho Palos Verdes, California, United States Aveanna Healthcare Full time

    Pediatric Patient Care Specialist Job DescriptionAveanna Healthcare is seeking a skilled and compassionate Pediatric Patient Care Specialist to join our team. As a Pediatric Patient Care Specialist, you will be responsible for providing high-quality, patient-centered care to pediatric patients in their homes.Key Responsibilities:Provide skilled nursing care...

  • Nail Care Specialist

    2 weeks ago

    Rancho Palos Verdes, California, United States Terranea Full time

    Position Overview: The Nail Care Specialist is responsible for delivering exceptional manicure and pedicure services, along with hand and foot massages and nail repairs as outlined in our service offerings. This role emphasizes outstanding customer service, with the specialist also recommending products and services tailored to the unique preferences of each...

  • Facilities Operations Manager

    2 weeks ago

    Palos Verdes Peninsula, United States Peninsula Pointe Full time

    Join our dedicated team at Cogir Senior LivingOverview...Cogir Senior Living is in search of a skilled, attentive, and service-oriented Facilities Operations Manager for our exceptional retirement community Peninsula Pointe. As the Facilities Operations Manager, you will oversee the daily operational functions of the community, ensuring adherence to safety...

  • Maintenance Director

    1 day ago

    Palos Verdes Peninsula, United States Peninsula Pointe Full time

    About the RoleWe are seeking an experienced and skilled Maintenance Director to join our team at Peninsula Pointe. As a key member of our facilities management team, you will be responsible for ensuring the smooth operation of our community's physical plant, including maintenance, repairs, and upkeep.Key ResponsibilitiesManage and oversee the day-to-day...