Care Manager (RN) – Hudson County [Urgent Search] Position Available In Hudson, 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.

• Evaluates the needs of the member, barriers to accessing theappropriate care, social determinants of health needs, focusing onwhat the member identifies as priority and recommends and/orfacilitates the plan for the best outcome
• Develops ongoing careplans / service plans and collaborates with providers to identifyproviders, specialists, and/or community resources to addressmember’s unmet needs
• Identifies problems/barriers to care andprovide appropriate care management interventions
• Coordinates asappropriate between the member and/or family/caregivers and thecare provider team to ensure members are receiving adequate andappropriate person-centered care or services
• Provides ongoingfollow up and monitoring of member status, change in condition, andprogress towards care plan / service plan goals; collaborate withmember, caregivers, and appropriate providers to revise or updatecare plan / service plan as necessary to meet the member’s goals /unmet needs
• Provides resource support to members and caremanagers for local resources for various services (e.g.,employment, housing, participant direction, independent living,justice, foster care) based on service assessment and plans, asappropriate
• Facilitate care management and collaborate withappropriate providers or specialists to ensure member has timelyaccess to needed care or services
• May perform telephonic,digital, home and/or other site outreach to assess member needs andcollaborate with resources
• Collects, documents, and maintains allmember information and care management activities to ensurecompliance with current state, federal, and third-party payerregulators
• Provides and/or facilitates education to members andtheir 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
• Other duties orresponsibilities as assigned by people leader to meet businessneeds
• Performs other duties as assigned
• Complies with allpolicies and standards

Education/Experience:

Requires a Degree froman Accredited School of Nursing or a Bachelor’s degree in Nursingand 2

• 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