Care Manager (RN) - Bergen and/or Passaic County
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.
Must reside in Bergen and/or Passaic County to travel for home visits within these regions. Travel up to 75% required.
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 the plan for the best outcome
? Develops ongoing care plans / service plans and identifies providers, specialists, and/or community resources to address member's unmet needs
? Identifies barriers to care and provide appropriate care management interventions
? Coordinates between the member, family/caregivers, and the care provider team to ensure members are receiving adequate and appropriate person-centered care services
? Provides ongoing monitoring of member status and progress towards care plan
? 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 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
? 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
Pay Range: $55,100.00 - $99,000.00 per year
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
Similar Remote Jobs
Care Manager (RN) - Bergen and/or Passaic County
Posted on: 31-01-2025 10:00
Care Manager (RN) - Mercer and/or Middlesex County
Posted on: 31-01-2025 10:00
RN Telephone Triage Weekend Only (Work From Home)
Posted on: 31-01-2025 10:00
Remote Work ? No Experience ? Product Tester
Posted on: 31-01-2025 10:00
Technical Program Manager II, Software Development, Cloud Networking
Posted on: 31-01-2025 10:00
American Airlines Customer Support Representative (Work From Home)
Posted on: 31-01-2025 10:00
Part-Time Weekend / Night Shift Customer Service Associate
Posted on: 31-01-2025 10:00
Content & Booking Assistant (US Based - Remote)
Posted on: 31-01-2025 10:00
Product Tester ? Remote with No Experience Required
Posted on: 31-01-2025 10:00
Customer Service Representative - Phone Agent (100% remote)
Posted on: 31-01-2025 10:00
Customer Service Associate – Flexible Schedule – Fresno
Posted on: 12-09-2024 00:00
Donor Services Coordinator II - Night Shift
Posted on: 31-01-2025 10:00
[Part time data entry jobs] Delta Airlines Careers Remote Online Jobs From Home
Posted on: 06-10-2024 00:00
CDL-A Local Delivery Truck Driver
Posted on: 28-01-2025 06:22
Regional Mgr, Corp Real Estate
Posted on: 09-11-2024 04:39
Specialist OSP Design Engineer Greenville, South Carolina
Posted on: 11-11-2024 03:51
Remote Customer Service Agent (Auto Dealer Support)
Posted on: 15-11-2024 04:55
Customer Service Representatives – Remote | WFH
Posted on: 12-09-2024 00:00
Remote Operator for Data Entry at $50/H
Posted on: 19-12-2024 18:04
Netflix jobs(entry level virtual assistant) - Kickstart Your Career
Posted on: 14-11-2024 08:02