Care Manager – RN
Company | Centene |
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Location | Polk County, FL, USA, Brandon, FL, USA |
Salary | $55100 – $99000 |
Type | Full-Time |
Degrees | Bachelor’s |
Experience Level | Mid Level, Senior |
Requirements
- Degree from an Accredited School of Nursing or a Bachelor’s degree in Nursing
- 2 – 4 years of related experience
- RN – Registered Nurse – State Licensure and/or Compact State Licensure required
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 provide appropriate care management interventions
- Coordinates as appropriate between the member and/or family/caregivers and the care provider team
- Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals
- Provides resource support to members and care managers for local resources for various services
- Facilitate care management and collaborate 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 and enhance care and quality delivery
- Other duties or responsibilities as assigned by people leader
- Performs other duties as assigned
- Complies with all policies and standards
Preferred Qualifications
- Bilingual in Spanish highly preferred