You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Centene is hiring a Care Manager RN to cover the Northeast region (Leavenworth, Jefferson, Jackson and Brown) area o f Kansas. This is a hybrid position that involves both remote work and community-based home visits. The ideal candidate will have knowledge of the case management process and TA Waiver or NICU/PICU/Peds experience in a managed care or clinical setting .
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome
Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs
Identifies problems/barriers to care and provide appropriate care management interventions
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs
Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate
Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services
May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
Other duties or responsibilities as assigned by people leader to meet business needs
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.
License/Certification:RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Centene 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is 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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
**Job Details****Import / Export Staff (Customer Service) - (3817)** This details all the information about the job posting. Share this... ...Operations Job Type Temporary Job Description **About BDP International:** BDP International is a privately held, family-owned...
...To Apply for this Job Click Here Beacon Hill Legal is seeking a Business Immigration Paralegal for our client a Texas litigation firm.: The Paralegal plays a crucial role in supporting our Business Immigration Attorneys and is pivotal in ensuring efficient legal...
...knowledge of department specific safety, fire and disaster plans. Qualifications Graduate of an accredited school of nursing. RN licensure for state of practice is required. Basic ability to communicate and comprehend; ability to measure and comprehend...
...to safety through our Zero Harm policy Check us out!: What you will do Under general direction, responsible for the design, configuration, and operation of complete building control systems including fire, security, and other low voltage control sub-systems...
...Assistance Scholarships and Sponsorships Continuing Education Years of Service Recognition Program Verizon and AT&T Discounts Hotel Discounts Job Summary Integrates health care for clients from pre-admission to post discharge....