Care Manager RN

4 weeks ago


Phoenix, Arizona, United States Arizona Complete Health Full time
Job Title: Care Manager RN

Join Arizona Complete Health as a Care Manager RN and play a vital role in transforming the health of our communities. As a member of our team, you will have the opportunity to make a meaningful impact on the lives of our 28 million members.

Job Summary:

We are seeking a skilled and compassionate Care Manager RN to develop, assess, and facilitate complex care management activities for our members. The successful candidate will provide high-quality, cost-effective healthcare outcomes, including personalized care plans and education for members and their families.

Key Responsibilities:
  • Evaluate member needs, barriers to care, and social determinants of health to identify priority areas for intervention.
  • Develop and implement ongoing care plans, collaborating with providers to identify resources and specialists to address member needs.
  • Identify problems and barriers to care, providing appropriate care management interventions to ensure timely access to needed care or services.
  • Coordinate with members, caregivers, and providers to ensure person-centered care and services, providing ongoing follow-up and monitoring of member status and progress.
  • Provide resource support to members and care managers for local resources, such as employment, housing, and independent living services.
  • Facilitate care management and collaborate with providers to ensure timely access to needed care or services.
  • Collect, document, and maintain member information and care management activities to ensure compliance with state, federal, and third-party payer regulators.
  • Provide education to members and their families on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits.
  • Provide feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner.
Requirements:
  • 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.

Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off, 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.



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