? 3 Days Left: Care Manager (RN) – Southern NJ Position Available In Essex, New Jersey

Job Description:

You could be the one who changes everything for our 28 millionmembers. Centene is transforming the health of our communities, oneperson at a time. As a diversified, national organization, you’llhave access to competitive benefits including a fresh perspectiveon workplace flexibility. Multiple positions open for Atlantic,Burlington, Camden, Cape May, Cumberland, Gloucester, and Salemcounties. Travel up to 75% required.

Position Purpose:

Develops,assesses, and facilitates complex care management activities forprimarily physical needs members to provide high quality,cost-effective healthcare outcomes including personalized careplans and education for members and their families.

• Evaluates theneeds of the member, barriers to accessing the appropriate care,social determinants of health needs, focusing on what the memberidentifies as priority and recommends the plan for the best outcome
• Develops ongoing care plans / service plans and identifiesproviders, specialists, and/or community resources to addressmember’s unmet needs
• Identifies barriers to care and provideappropriate care management interventions
• Coordinates between themember, family/caregivers, and the care provider team to ensuremembers are receiving adequate and appropriate person-centered careservices
• Provides ongoing monitoring of member status andprogress towards care plan
• Collaborate with member, caregivers,and appropriate providers to revise or update care plan / serviceplan as necessary to meet the member’s goals / unmet needs
• Provides resource support to members and care managers for variousservices (e.g., employment, housing, participant direction,independent living, justice, foster care) based on serviceassessment and plans, as appropriate
• Facilitate care managementand collaborate with appropriate providers or specialists to ensuremember has timely access to needed care or services
• May performtelephonic, digital, home and/or other site outreach to assessmember needs and collaborate with resources
• Collects, documents,and maintains all member information and care management activitiesto ensure compliance with current state, federal, and third-partypayer regulators
• Provides and/or facilitates education to membersand their families/caregivers on disease processes, resolving caregaps, healthcare provider instructions, care options, referrals,and healthcare benefits
• Provides feedback to leadership onopportunities to improve and enhance care and quality delivery formembers in a cost-effective manner
• Complies with all policies andstandards

Education/Experience:

Requires a Degree from anAccredited School of Nursing or a Bachelor’s degree in Nursing and2

• 4 years of related experience.

License/Certification:

RN

• Registered Nurse
• State Licensure and/or

Compact State Licensurerequired Pay Range:

$55,100.00

• $99,000.

00 per year Centene offersa comprehensive benefits package including: competitive pay, healthinsurance, 401K and stock purchase plans, tuition reimbursement,paid time off plus holidays, and a flexible approach to work withremote, hybrid, field or office work schedules. Actual pay will beadjusted based on an individual’s skills, experience, education,and other job-related factors permitted by law. Total compensationmay also include additional forms of incentives. Centene is anequal opportunity employer that is committed to diversity, andvalues the ways in which we are different. All qualified applicantswill receive consideration for employment without regard to race,color, religion, sex, sexual orientation, gender identity, nationalorigin, disability, veteran status, or other characteristicprotected by applicable law. Qualified applicants with arrest orconviction records will be considered in accordance with the LACounty Ordinance and the California Fair Chance Act