Care Manager (RN) – Hudson County 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. ? Must reside in Hudson County to travelfor home visits within these regions. Travel up to 75% required.

Bilingual in Arabic and English highly preferred.

Position Purpose:

Develops, assesses, and facilitates complex care managementactivities for primarily physical needs members to provide highquality, cost-effective healthcare outcomes including personalizedcare plans and education for members and their families. Evaluatesthe needs of the member, barriers to accessing the appropriatecare, social determinants of health needs, focusing on what themember identifies as priority and recommends and/or facilitates theplan for the best outcome Develops ongoing care plans / serviceplans and collaborates with providers to identify providers,specialists, and/or community resources to address member’s unmetneeds Identifies problems/barriers to care and provide appropriatecare management interventions Coordinates as appropriate betweenthe member and/or family/caregivers and the care provider team toensure members are receiving adequate and appropriateperson-centered care or services Provides ongoing follow up andmonitoring of member status, change in condition, and progresstowards 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 / unmetneeds Provides resource support to members and care managers forlocal resources for various services (e.g., employment, housing,participant direction, independent living, justice, foster care)based on service assessment and plans, as appropriate Facilitatecare management and collaborate with appropriate providers orspecialists to ensure member has timely access to needed care orservices May perform telephonic, digital, home and/or other siteoutreach to assess member needs and collaborate with resourcesCollects, documents, and maintains all member information and caremanagement activities to ensure compliance with current state,federal, and third-party payer regulators Provides and/orfacilitates education to members and their families/caregivers ondisease processes, resolving care gaps, healthcare providerinstructions, care options, referrals, and healthcare benefitsProvides feedback to leadership on opportunities to improve andenhance care and quality delivery for members in a cost-effectivemanner Other duties or responsibilities as assigned by peopleleader to meet business needs Performs other duties as assignedComplies with all policies and standards

Education/Experience:

Requires a Degree from an Accredited School of Nursing or aBachelor’s degree in Nursing and 2•4 years of related experience.

License/Certification:

RN•Registered Nurse•State Licensureand/or Compact State Licensure required

Pay Range:

$55,100.00•$99,000.00 per year Centene offers a comprehensive benefits packageincluding: competitive pay, health insurance, 401K and stockpurchase plans, tuition reimbursement, paid time off plus holidays,and a flexible approach to work with remote, hybrid, field oroffice work schedules. Actual pay will be adjusted based on anindividual’s skills, experience, education, and other job-relatedfactors permitted by law. Total compensation may also includeadditional forms of incentives. Centene is an equal opportunityemployer that is committed to diversity, and values the ways inwhich we are different. All qualified applicants will receiveconsideration 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