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Care Manager, RN
Centene Corporation. Develop, assess, and facilitate complex care management activities for primarily physical-needs members .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management activities, including evaluating member needs, developing care plans, and coordinating with healthcare providers. Proficient in regulatory compliance and educating members on healthcare benefits and options.
Highest-signal resume keywords
Registered Nurse - RNCare ManagementRegulatory ComplianceMed/Surg ExperienceCare Plan Development
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 Management ActivitiesMember Needs AssessmentCare Plan DevelopmentCare Management InterventionsDocumentation and Record Keeping
Soft Skills
CollaborationCommunicationLeadership
Tools & Technologies
Telephonic OutreachDigital OutreachHome Outreach
Certifications & Qualifications
Registered Nurse - State LicensureCompact State Licensure
Industry Keywords
Social Determinants of HealthHealthcare BenefitsCare Quality ImprovementCost EffectivenessCommunity Resources
About the role
Key responsibilities & impact- Develop, assess, and facilitate complex care management activities for primarily physical-needs members
- Evaluate member needs, access barriers, and social determinants of health
- Develop ongoing care plans and collaborate with providers, specialists, and community resources
- Identify care problems and barriers and provide care management interventions
- Coordinate members, families/caregivers, and care provider teams
- Monitor member status, changes in condition, 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/or site outreach
- Collect, document, and maintain member and care-management information 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 assigned duties and comply with policies and standards
Requirements
What you’ll need- Must reside in the state of Georgia
- 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
- Med/Surg experience highly preferred
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