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Care Manager – RN

Care Manager – RN

CompanyCentene
LocationTennessee, USA
Salary$55100 – $99000
TypeFull-Time
DegreesBachelor’s
Experience LevelMid Level

Requirements

  • Registered Nurses with experience in case management, home health, or managed care
  • Must hold a compact RN license
  • Candidates who reside in North Carolina, Tennessee, and Georgia and work in the Eastern Time Zone

Responsibilities

  • Develops, assesses, and facilitates complex care management activities for primarily physical needs members
  • Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs
  • Develops ongoing care plans / service plans and collaborates with providers
  • Identifies problems/barriers to care and provides appropriate care management interventions
  • Coordinates between the member and/or family/caregivers and the care provider team
  • Provides ongoing follow up and monitoring of member status
  • Provides resource support to members and care managers for local resources
  • Facilitates care management and collaborates with appropriate providers or specialists
  • May perform telephonic, digital, home and/or other site outreach to assess member needs
  • Collects, documents, and maintains all member information and care management activities
  • Provides and/or facilitates education to members and their families/caregivers
  • Provides feedback to leadership on opportunities to improve care and quality delivery
  • Other duties or responsibilities as assigned by people leader
  • Complies with all policies and standards

Preferred Qualifications

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