Care Manager (RN) – Morris, Warren, and/or Sussex County Position Available In Middlesex, 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 New Jersey for home visitswithin Morris, Warren, or Sussex County. Travel up to 75% required.

Position Purpose:

Develops, assesses, and facilitates complex caremanagement activities for primarily physical needs members toprovide high quality, cost-effective healthcare outcomes includingpersonalized care plans and education for members and theirfamilies.

• Evaluates the needs of the member, barriers toaccessing the appropriate care, social determinants of healthneeds, focusing on what the member identifies as priority andrecommends and/or facilitates the plan for the best outcome
• Develops ongoing care plans / service plans and collaborates withproviders to identify providers, specialists, and/or communityresources to address member’s unmet needs
• Identifiesproblems/barriers to care and provide appropriate care managementinterventions
• Coordinates as appropriate between the memberand/or family/caregivers and the care provider team to ensuremembers are receiving adequate and appropriate person-centered careor services
• Provides ongoing follow up and monitoring of memberstatus, change in condition, and progress towards care plan /service plan goals; collaborate with member, caregivers, andappropriate providers to revise or update care plan / service planas necessary to meet the member’s goals / unmet needs
• Providesresource support to members and care managers for local resourcesfor various services (e.g., employment, housing, participantdirection, independent living, justice, foster care) based onservice assessment and plans, as appropriate
• Facilitate caremanagement 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 resources
• Collects, 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 benefits
• Provides 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 assigned
• Complies 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