Senior Care Manager, RN
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Job Description
Centene RN Care Manager coordinating personalized care plans and healthcare services for North Carolina members. Supporting quality outcomes through assessment, education, provider collaboration, and care-plan management.
Responsibilities:
- Assess, plan, and implement complex care management activities
- Develop personalized care plans/service plans for members
- Address member issues and educate members and families/caregivers on services and benefit options
- Continuously assess care plans and collaborate with providers and community resources
- Coordinate between members/families/caregivers and care provider teams
- Monitor member status, changes in condition, and progress toward care goals
- Identify problems, barriers, and appropriate care management interventions for escalated cases
- Review member data, referrals, and intake assessments to improve quality and develop care plans
- Perform telephonic, digital, home, and/or other site outreach
- Collaborate with healthcare providers to facilitate services and treatments
- 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 benefits
- Partner with leadership to improve cost-effective care and quality delivery
- Precept, coach, and support clinical new hires/preceptees
- Support onboarding, competency checkpoints, readiness measurement, and cross-functional collaboration
- Perform other assigned duties and comply with policies and standards
Requirements:
- Applicants must reside in North Carolina
- Active RN license required
- RN State Licensure and/or Compact State Licensure required
- Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
- 4–6 years of related experience
- Experience working with the maternity population and in care management preferred by the role description
- Strong assessment skills
- Computer proficiency, including Microsoft applications
- Excellent communication and customer service skills
- Attention to detail
- Strong organizational and management skills
- Effective time management
- Ability to work Monday through Friday, 8:00 AM to 5:00 PM
- Ability to travel approximately 10%
Benefits:
- Competitive pay
- Health insurance
- 401K
- 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
- Diversity and equal opportunity employment
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