Care Manager, RN
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Centene Care Manager (RN) coordinating personalized care plans and healthcare access for New Jersey members. Conducting remote and in-home outreach while collaborating with providers and community resources.
Responsibilities:
- Develop, assess, and facilitate complex care management activities for primarily physical needs members
- Provide personalized care plans and education for members and their families
- Evaluate member needs, barriers to appropriate care, and social determinants of health
- Develop ongoing care plans and collaborate with providers, specialists, and community resources
- Identify problems and barriers to care and provide appropriate interventions
- Coordinate between members, families/caregivers, and care provider teams
- Follow up and monitor member status, condition changes, and progress toward care plan goals
- Provide resource support for local services including employment, housing, participant direction, independent living, justice, and foster care
- Facilitate care management and collaborate with providers or specialists for timely access to needed care
- Conduct telephonic, digital, home, and other site outreach
- Collect, document, and maintain member information and care management activities for regulatory compliance
- Provide or facilitate education on disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits
- Provide feedback to leadership on opportunities to improve care and quality delivery
- Perform other duties as assigned and comply with all policies and standards
Requirements:
- Requires a degree from an accredited school of nursing or a Bachelor of Science in Nursing (BSN)
- Two to four years of related experience
- Active New Jersey RN license required
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
- Ability to work Monday through Friday, 8:00 AM to 5:00 PM EST, with flexibility based on member and business needs
- Up to 50% local travel for in-home member visits
Benefits:
- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plan
- 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
Similar Jobs
Senior Commercial Excellence Manager
Commercial Excellence Manager transforming GE Vernova’s Software & Controls Solutions commercial processes and tools. Driving Lean improvement, governance, training, dashboards, and global change management.
District Manager, Rheumatology
AbbVie District Manager driving rheumatology sales across the Boston immunology market. Leading field teams, sales planning, coaching, and pharmaceutical business execution.
District Manager, Rheumatology
District Manager leading rheumatology sales across an assigned geography for AbbVie’s innovative immunology medicines. Coaching field teams and executing district sales plans.
Field Reimbursement Manager, Immunology, Gastroenterology
Field Reimbursement Manager supporting HCP access and reimbursement for AbbVie’s immunology gastroenterology medicines. Educating providers on payer policies, specialty distribution, and patient support programs.
Outpatient CDI Manager
Outpatient CDI Outsourcing Manager leading outsourced outpatient documentation programs for Solventum, a healthcare innovation company. Overseeing vendors, compliance, performance, revenue objectives, and CDI staff.
Capital Planning Manager
Capital Planning Manager overseeing mechanical, electrical, plumbing, HVAC, and life-safety maintenance planning. Managing facility systems, budgets, compliance, and technical teams for Cushman & Wakefield.
District Manager, Rheumatology
District Manager leading immunology sales across Louisiana and Arkansas for AbbVie, an innovative medicines company. Coaching field teams, driving district plans, and delivering pharmaceutical sales performance.
District Manager, Rheumatology
AbbVie district manager leading immunology sales across Louisiana and Arkansas. Coaching field teams, executing sales plans, and growing pharmaceutical performance.
Telephonic Case Manager II
Telephonic Case Manager coordinating personalized medical care plans for CorVel’s workers’ compensation and disability management clients. Assessing treatment, recommending alternatives, and coordinating services remotely.
Audit Manager – Venture Capital
Audit Manager leading venture capital fund audits at Frank, Rimerman. Managing engagements, technical accounting matters, client relationships, and audit teams.
Key Accounts Manager – Semiconductor Materials
Key Accounts Manager selling specialty chemicals, systems, and OEM services to semiconductor and IC customers. Developing strategic accounts across the Eastern United States.
Care Manager
Care Manager coordinating whole-person behavioral health services for Trillium Health Resources members. Developing care plans and connecting North Carolina members with providers and community resources.
Credential Manager
Credential Manager securing passwords and EMR access across HealthMark Group’s healthcare IT client systems. Ensuring HIPAA compliance, auditing, incident response, and secure staff access.
Manager – Career Changer
Führungskraft für Finanzberatung und Mitarbeiterentwicklung bei BucherInvest, einem Schweizer Finanzdienstleister. Kunden und Geschäftspartner beim Erreichen ihrer persönlichen Ziele unterstützen.
Senior Lean Manager – Gas Value Stream
Senior Lean Manager driving Lean and TPS transformation across GE Vernova’s gas manufacturing sites. Leading Kaizen, BIQ deployment, capability building, and best-practice standardization.
Tech Manager II – Employee Journey
Tech Manager liderando engenharia, arquitetura cloud e transformação de sistemas de RH no Grupo Boticário. Conectando estratégia tecnológica, liderança técnica e soluções escaláveis para o ecossistema brasileiro de beleza.
Customer Enablement Manager
Customer Enablement Manager scaling customer education, self-service, and product adoption. Improving enablement journeys and content for Trustwell’s food compliance and quality platform.
Fleet Manager
Fleet Manager driving corporate and leasing sales for Geely Europe’s BEV and PHEV mobility business. Managing key accounts, tenders, partnerships, and market strategy across BeLux.
Field Service EHS Manager
Field Service EHS Manager leading EHS programs for Munters’ mission-critical climate solutions operations. Conducting audits, training teams, and ensuring OSHA compliance across field and data center environments.
Senior Delivery Manager
Senior Delivery Manager leading complex transformation programmes for Iptor, a business technology solutions company. Orchestrating delivery, budgets, risks, vendors, adoption, and measurable outcomes across Portugal, Spain, and Poland.