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Senior Care Manager – RN
Company | Centene |
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Location | New York, NY, USA |
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Salary | $73800 – $132700 |
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Type | Full-Time |
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Degrees | Bachelor’s |
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Experience Level | Senior |
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Requirements
- Must have an active New York State Registered Nurse License
- Requires a Degree from an Accredited School or Nursing or a Bachelor’s degree in Nursing
- 4 – 6 years of related experience
Responsibilities
- Assesses, plans, and implements complex care management activities based on member activities
- Develops and continuously assesses ongoing care plans / service plans and collaborates with providers
- Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team
- Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals
- May identify problems/barriers for care management and appropriate care management interventions for escalated cases
- Reviews member data to identify trends and improve operating performance and quality care
- Reviews referrals information and intake assessments to develop appropriate care plans/service plans
- May perform telephonic, digital, home and/or other site outreach to assess member needs
- Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments
- Collects, documents, and maintains all member information and care management activities
- Provides and/or facilitates education to members and their families/caregivers
- Partners with leadership team to improve and enhance care and quality delivery for members
- May precept clinical new hires by fostering and building core skills
- Provides guidance and support to clinical new hires/preceptees
- Engages and assists New Hire/Preceptee during onboarding journey
- Engages in a collaborative and ongoing process with People Leaders and cross functional teams
- Other duties or responsibilities as assigned by people leader to meet business needs
- Performs other duties as assigned
- Complies with all policies and standards
Preferred Qualifications
No preferred qualifications provided.