Clinical Nurse Specialist

1 month ago


Syracuse, New York, United States Centene Corporation Full time
Job Title: Clinical Nurse Specialist - Long Term Care

Centene Corporation is seeking a highly skilled Clinical Nurse Specialist to join our Medical Management/Health Services team. As a Clinical Nurse Specialist, you will play a critical role in changing the lives of our 28 million members by providing expert clinical guidance and support.

Key Responsibilities:
  • Conduct comprehensive assessments with members, caregivers, and providers to develop personalized care plans.
  • Monitor the delivery of services and ensure seamless coordination with members, caregivers, and providers.
  • Authorize and coordinate referrals for services, ensuring timely and effective care.
  • Identify and address functional deficiencies in care plans, ensuring optimal outcomes.
  • Collaborate with discharge planners, physicians, and other stakeholders to ensure smooth transitions and care coordination.
  • Provide support and guidance to members in resolving complaints and appeals.
  • Direct care to participating network providers, ensuring high-quality services.
  • Participate in care management committees and contribute to special projects as needed.
Requirements:
  • 3+ years of care management experience, with a focus on home health, discharge planning, or long-term care.
  • Valid NYS RN license and a valid driver's license.
What We Offer:

Centene Corporation 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 individual skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.



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