Lead Care Management Professional

6 days ago


Sacramento, California, United States Centene Corporation Full time

Centene Corporation is transforming the health of communities, one person at a time. With a focus on quality and efficacy, we're seeking an experienced professional to join our team as Lead Care Management Professional.

This role requires strong leadership skills, with a proven track record in care management delivery. You will supervise a team of care managers, ensuring they have the resources and support needed to provide high-quality care to our members.

The ideal candidate will have a deep understanding of federal and state regulations, as well as contractual agreements. They will be able to assign caseloads and work assignments based on state requirements, staff experience, and member needs.

In this role, you will also work closely with senior management on escalated and complex care cases, providing guidance to junior team members. Your expertise will be invaluable in educating and providing resources for the care management team on key initiatives and member outreach.

We are looking for a skilled professional who can evaluate team performance and provide feedback on goals and career milestones. If you have a passion for improving member and provider experiences, and a drive to lead change within your scope of responsibility, we want to hear from you.

Salary Range:

$83,600 - $155,000 per year

About the Job:

In this role, you will:

  • Supervise care management team and members to promote quality and efficacy of care management delivery
  • Monitor and review required documentation to maintain compliance with federal and state regulations and contractual agreements
  • Assign caseloads and work assignments based on state requirements, staff experience, and member needs
  • Work with senior management on escalated and complex care cases, and provide guidance to junior team members
  • Educate and provide resources for care management team on key initiatives and member outreach
Requirements:

To be successful in this role, you will need:

  • A graduate degree from an accredited school of nursing or a bachelor's degree and 4+ years of related experience
  • CA State RN licensure
What We Offer:

At Centene Corporation, we offer 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.



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