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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, including developing and implementing care plans, evaluating member needs, and coordinating person-centered care. Proficient in regulatory compliance and providing education on healthcare benefits and disease processes.
Highest-signal resume keywords
Active Delaware RN LicenseCare Management ExperienceHigh-Risk Maternity SupportRegulatory ComplianceBachelor's Degree in Nursing
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 DevelopmentNeeds AssessmentIntervention StrategiesDocumentation and Record KeepingTelephonic OutreachDigital OutreachHome OutreachMember EducationResource Support CoordinationCare Quality Improvement
Soft Skills
CollaborationCommunicationProblem-SolvingLeadership Feedback
Certifications & Qualifications
RN - Registered Nurse - State LicensureCompact State Licensure
Industry Keywords
Care ManagementSocial Determinants of HealthPerson-Centered CareHigh-Risk PopulationsHealthcare BenefitsCase Management
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, 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 person-centered care among members, families, caregivers, and provider teams
- Follow up and monitor member status, conditions, and progress toward care plan goals
- Provide resource support for services including employment, housing, independent living, justice, and foster care
- 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 families/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-effectiveness
- Perform other duties as assigned
Requirements
What you’ll need- Reside in Delaware
- Active, unrestricted Delaware RN license
- 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
- Experience supporting high-risk maternity populations highly preferred
- Previous Case Management experience beneficial
- Comply 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
- Additional forms of incentives may be included in total compensation
- Equal opportunity employer committed to diversity