Centene Corporation
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting • Network Development • Managed Care
Senior Care Manager - RN
March 28
Centene Corporation
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting • Network Development • Managed Care
📋 Description
• Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes • Develops a personalized care plan / service plan for care members • Addresses issues, and educates members and their families/care givers on services and benefit options • 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 • Collaborates with member, caregivers, and appropriate providers to revise or update care plan as necessary • 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 • Performs 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 on disease processes • Partners with leadership team to improve and enhance care and quality delivery for members • May precept clinical new hires and engages in a collaborative process with People Leaders
🎯 Requirements
• Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing • 4 – 6 years of related experience • NYS RN license required • Pediatric population experience preferred • RN - Registered Nurse - State Licensure and/or Compact State Licensure required
🏖️ Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules
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