Care Manager, RN
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Job Description
Remote Georgia RN care manager leading complex Medicaid care plans, assessments, education, and provider coordination. Centene connects members to accessible, cost-effective healthcare.
Responsibilities:
- Lead complex care management for members with primarily physical health needs
- Conduct comprehensive assessments and evaluate member needs, barriers to care, and social determinants of health
- Develop personalized, ongoing care plans and service plans
- Coordinate care among members, families, caregivers, providers, specialists, and community resources
- Identify problems and barriers to care and provide appropriate interventions
- Monitor member status, changes in condition, and progress toward care plan goals
- Provide resource support for services such as employment, housing, independent living, justice, and foster care
- Facilitate 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 quality and cost-effective delivery
- Support PHCO Case Management and collaborate with cross-functional Medicaid teams
- Comply with all policies and standards and perform other assigned duties
Requirements:
- Required credential: Registered Nurse (RN)
- Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
- 2–4 years of related experience
- RN (Registered Nurse) state licensure and/or compact state licensure required
- Schedule availability from 8:00 a.m.–5:00 p.m. Eastern Time
- Candidates must reside in Georgia
Benefits:
- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Total compensation may include additional forms of incentives
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