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Care Manager, RN
Centene Corporation. Lead complex care management for members with primarily physical health needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management for members with physical health needs, including conducting assessments, developing care plans, and coordinating services. Proficient in regulatory compliance and educating members and families on healthcare options and benefits.
Highest-signal resume keywords
Registered Nurse (RN)Care ManagementComprehensive AssessmentsRegulatory ComplianceCare Coordination
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 AssessmentIntervention StrategiesMonitoring Member StatusResource Support
Soft Skills
Leadership FeedbackCommunicationCollaboration
Tools & Technologies
Telephonic OutreachDigital OutreachHome Outreach
Certifications & Qualifications
RN State LicensureCompact State Licensure
Industry Keywords
Social Determinants of HealthMedicaidHealthcare BenefitsCare QualityCost-Effective Delivery
About the role
Key responsibilities & impact- Lead complex care management for members with primarily physical health needs
- Conduct comprehensive assessments and evaluate member needs, barriers to care, and social determinants of health
- Develop personalized, ongoing care plans and service plans
- Coordinate care among members, families, caregivers, providers, specialists, and community resources
- Identify problems and barriers to care and provide appropriate interventions
- Monitor member status, changes in condition, and progress toward care plan goals
- Provide resource support for services such as employment, housing, independent living, justice, and foster care
- Facilitate timely access to needed care and services
- 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 healthcare benefits
- Provide leadership feedback on opportunities to improve care quality and cost-effective delivery
- Support PHCO Case Management and collaborate with cross-functional Medicaid teams
- Comply with all policies and standards and perform other assigned duties
Requirements
What you’ll need- Required credential: Registered Nurse (RN)
- 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
- Schedule availability from 8:00 a.m.–5:00 p.m. Eastern Time
- Candidates must reside in Georgia
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K plan
- 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 include additional forms of incentives