Care Manager, RN – Foster Care
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Job Description
Registered Nurse care manager coordinating personalized healthcare plans for Centene’s 28 million members. Supporting foster-care populations through assessments, provider collaboration, education, and resource navigation.
Responsibilities:
- Develop, assess, and facilitate complex care management activities for members with primarily physical needs
- Evaluate member needs, access barriers, and social determinants of health, focusing on member priorities
- Develop ongoing care plans and service plans
- Collaborate with providers, specialists, and community resources to address unmet needs
- Identify problems and barriers to care and provide care management interventions
- Coordinate between members, families, caregivers, and care provider teams to ensure person-centered care
- Follow up and monitor member status, condition changes, and progress toward care plan goals
- Revise or update care plans as necessary
- Provide resource support for employment, housing, participant direction, independent living, justice, and foster care services
- Facilitate care management and coordinate timely access to needed care and services
- Conduct telephonic, digital, home, and/or other site outreach
- Collect, document, and maintain member information and care management activities for regulatory compliance
- Educate members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits
- Provide leadership feedback on opportunities to improve care and quality delivery cost-effectively
- Perform other assigned duties and comply with policies and standards
Requirements:
- Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
- 2–4 years of related experience
- RN state licensure and/or compact state licensure required
- Previous pediatrics or foster care experience preferred
- Ability to work Monday–Friday, 8am–5pm
- Knowledge of care management, healthcare coordination, member education, referrals, and community resources
- Ability to perform telephonic, digital, home, and/or other site outreach
- Ability to document and maintain member and care management information for regulatory compliance
Benefits:
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Accommodation support for candidates
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