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Care Manager, RN
Centene Corporation. Develop, assess, and facilitate complex care management activities for members with primarily physical needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management activities, including developing care plans, evaluating member needs, and coordinating with healthcare providers. Proficient in regulatory compliance and educating members on care options and resources.
Highest-signal resume keywords
Active Kentucky State RN LicenseCare Management ExperienceClinical Outpatient Settings ExperienceDegree from Accredited School of Nursing2–4 Years of Related Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care Plan DevelopmentMember Needs AssessmentBarriers to Care EvaluationRegulatory Compliance DocumentationDisease Process Education
Soft Skills
CollaborationLeadership FeedbackCommunication
Tools & Technologies
Telephonic OutreachDigital OutreachHome Outreach
Certifications & Qualifications
RN - Registered Nurse - State LicensureCompact State Licensure
Industry Keywords
Complex Care ManagementSocial Determinants of HealthCare Quality ImprovementCost-EffectivenessIndependent Living Resources
About the role
Key responsibilities & impact- Develop, assess, and facilitate complex care management activities for members with primarily physical needs
- Evaluate member needs, barriers to care access, and social determinants of health
- Develop ongoing care plans and collaborate with providers, specialists, and community resources
- Identify problems and barriers to care and provide appropriate interventions
- Coordinate among members, families/caregivers, and care provider teams
- Follow up and monitor member status, condition changes, and progress toward care-plan goals
- Provide resource support for services including employment, housing, participant direction, independent living, justice, and foster care
- Facilitate care management and collaborate with providers to ensure timely access to care
- Conduct telephonic, digital, home, and/or other site outreach
- Collect, document, and maintain member information and care management activities for regulatory compliance
- Educate members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, and benefits
- Provide leadership feedback on opportunities to improve care quality and cost-effectiveness
- Perform other assigned duties and comply with policies and standards
Requirements
What you’ll need- Preference will be given to applicants who reside in eastern or central time zone
- Active Kentucky State or Compact RN license required
- Experience with medical-surgical or other inpatient units, clinical outpatient settings such as home health, or care management preferred
- 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
- Complies with all policies and standards
Benefits
Comp & perks- competitive pay
- 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
- Total compensation may also include additional forms of incentives