Senior LTSS Service Care Manager RN
2 weeks ago
We are seeking a highly skilled and compassionate RN Care Manager to join our team at Centene Corporation. As a Care Manager, you will play a critical role in assessing and coordinating medical and supporting services for complex and high-acuity populations. Your expertise will help us deliver high-quality, cost-effective care to our members.
Key Responsibilities- Evaluate the service needs of complex and high-risk members and develop personalized care plans to promote quality and cost-effective care.
- Collaborate with healthcare providers, community resources, and family members to ensure members receive adequate and appropriate person-centered care.
- Monitor member status, change in condition, and progress towards care plan goals, and revise or update care plans as necessary.
- Collect, document, and maintain all member information and care management activities to ensure compliance with state and federal regulations.
- Provide education and support to members and their families on disease processes, healthcare provider instructions, care options, referrals, and healthcare benefits.
- Act as a liaison and member advocate between members, physicians, and facilities/agencies.
- Coordinate community resources and provide coordination of service authorization to members and care managers.
- Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience.
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required.
- NP - Nurse Practitioner - Current State's Nurse Licensure required.
Centene Corporation 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.
We are 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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