Care Manager RN

2 weeks ago

Ford, Kansas, United States Sunflower Health Plan Full time
Job Title: Care Manager RN

Join Sunflower Health Plan 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 join our team. In this role, you will be responsible for developing, assessing, and facilitating complex care management activities for our members. Your primary focus will be on providing high-quality, cost-effective healthcare outcomes, including personalized care plans and education for our members and their families.

Key Responsibilities
  • Evaluate the needs of our members, identify barriers to accessing care, and recommend and/or facilitate plans for the best possible outcomes.
  • Develop ongoing care plans and collaborate with providers to identify resources and specialists to address our members' unmet needs.
  • Identify problems and provide care management interventions to ensure our members receive adequate and appropriate care.
  • Coordinate between members, caregivers, and providers to ensure person-centered care and services.
  • Provide ongoing follow-up and monitoring of member status, progress towards care plan goals, and revise or update care plans as necessary.
  • Support members and care managers with local resources for various services, such as employment, housing, and independent living.
  • Facilitate care management and collaborate with providers to ensure timely access to needed care or services.
  • Perform telephonic, digital, home, and/or other site outreach to assess member needs and collaborate with resources.
  • 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 our members in a cost-effective manner.
Requirements

We require a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience. Additionally, you must have RN - Registered Nurse - State Licensure and/or Compact State Licensure.

What We Offer

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

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