Care Manager, RN

Centene Corporation

. Develop, assess, and facilitate complex care management activities for members with primarily physical needs .

Posted 9/29/2026full-timeRemote • Kansas • United StatesJuniorMid-Level💰 $56,200 - $101,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management, including the development of personalized care plans and collaboration with healthcare providers. Proficient in evaluating member needs and ensuring compliance with regulatory requirements.

Highest-signal resume keywords

Registered Nurse LicensureCare ManagementPediatric ExperienceRegulatory ComplianceCare Plan Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ActivitiesPersonalized Care PlansMember Needs AssessmentCare CoordinationDocumentation of Care Management Activities

Soft Skills

Leadership FeedbackCommunication with Members and CaregiversProblem IdentificationCollaboration with Providers

Tools & Technologies

Telephonic OutreachDigital OutreachHome Outreach

Certifications & Qualifications

RN - Registered Nurse LicensureCompact State Licensure

Industry Keywords

Social Determinants of HealthPerson-Centered CareHealthcare BenefitsRegulatory RequirementsYouthCare IllinoisSunshine HealthTrillium Community Health Plan

About the role

Key responsibilities & impact

Develop, assess, and facilitate complex care management activities for members with primarily physical needs
Create personalized care plans and provide education for members and families
Evaluate member needs, access barriers, and social determinants of health
Develop ongoing care/service plans and collaborate with providers, specialists, and community resources
Identify problems and barriers to care and provide care management interventions
Coordinate members, families/caregivers, and care provider teams to ensure appropriate person-centered care
Follow up and monitor member status, condition changes, and progress toward care plan goals
Provide resource support for employment, housing, participant direction, independent living, justice, and foster care services
Facilitate timely access to needed care and services
Conduct telephonic, digital, home, and other site outreach
Collect, document, and maintain member information and care management activities for regulatory compliance
Educate members and caregivers on disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits
Provide leadership feedback on opportunities to improve care quality and cost-effective delivery
Perform other duties as assigned and comply with all policies and standards

Requirements

What you’ll need

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
For YouthCare Illinois plan only: Bachelor’s Degree and IL RN licensure required; must reside in IL
For Sunshine Health (FL) only: minimum of two years of pediatric experience for employees supporting Florida's Children’s Medical Services (CMS)
For Trillium Community Health Plan only: RN licensure in Oregon required
May require up to 80% local travel for Sunshine Health (FL) CMS employees
Ability to comply with policies, standards, and applicable regulatory requirements

Benefits

Comp & perks

Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity