Care Manager, RN

atCentene CorporationRemoteUS flagNew JerseyFull-timeManagerJuniorMid-level$56.2k – $101k/year

Posted 1 day ago

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Design, evaluate, and implement comprehensive care management activities for members with mainly physical health needs.

• Develop tailored care plans and offer education to both members and their families.

• Assess member needs, obstacles to care, and social determinants impacting health.

• Create ongoing service/care plans and work in partnership with providers, specialists, and community organizations.

• Recognize barriers to care and deliver suitable interventions.

• Coordinate person-centered care among members, caregivers, and healthcare teams.

• Monitor member conditions, status, and progress towards care plan objectives; adjust plans as necessary.

• Provide support for local resources including employment, housing, independent living, justice, and foster care services.

• Ensure timely access to necessary care and services.

• Conduct outreach through telephonic, digital, home visits, and other sites.

• Record member information and care management activities to meet regulatory standards.

• Educate members and caregivers on disease management, care gaps, provider directives, care options, referrals, and benefits.

• Offer leadership insights on opportunities for enhancing care quality and cost-efficiency.

• Carry out additional assigned responsibilities and adhere to established policies and standards.


⛳️ Requirements

• Degree from an accredited nursing school or a Bachelor's degree in Nursing.

• 2–4 years of relevant experience.

• Current New Jersey Registered Nurse (RN) license is mandatory.

• State Licensure and/or Compact State Licensure is essential.

• Capability to travel locally for in-home member visits up to 50% within the designated area.

• Availability from Monday to Friday, 8:00 a.m. to 5:00 p.m. ET, with flexibility based on the needs of members and the business.


🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement programs.

• Paid time off along with holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional types of incentives may be included in the overall compensation package.

• Equal opportunity employer dedicated to fostering diversity.

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