Care Manager, RN

Centene Corporation

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

Posted 10/27/2026full-timeRemote • United StatesJuniorMid-Level💰 $56,200 - $101,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management activities, including developing care plans, conducting member outreach, and evaluating social determinants of health. Proficient in coordinating person-centered care and ensuring regulatory compliance while providing education on healthcare benefits.

Highest-signal resume keywords

RN - Registered Nurse - State LicensureDisease Management ExperienceStrong Clinical JudgmentBackground in Physical Health Case ManagementMicrosoft Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ActivitiesCare Plan DevelopmentMember OutreachClinical Rounds ParticipationEvaluation of Member NeedsCare Management InterventionsResource Support CoordinationDocumentation for Regulatory ComplianceEducation on Disease ProcessesMonitoring Member Status

Soft Skills

Leadership FeedbackCollaboration with ProvidersCommunication with Members and Families

Certifications & Qualifications

Degree from an Accredited School of NursingBachelor's Degree in Nursing

Industry Keywords

Complex Care ManagementSocial Determinants of HealthTelephonic OutreachHome Health ExperienceHospice ExperienceMaternity Experience

About the role

Key responsibilities & impact

Develop, assess, and facilitate complex care management activities for primarily physical-needs members
Conduct member outreach and case management enrollment
Manage members on an ongoing basis and participate in clinical rounds
Evaluate member needs, barriers to care, and social determinants of health
Develop care plans and collaborate with providers, specialists, and community resources
Identify care barriers and provide appropriate care management interventions
Coordinate person-centered care among members, families, caregivers, and provider teams
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 access to needed care and services
Perform 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-effectiveness
Comply with all policies and standards and perform other assigned duties

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
Disease management experience
Strong clinical judgment
Microsoft proficiency
Background in physical health case management
Hospice or home health experience is preferred
Maternity experience is helpful

Benefits

Comp & perks

competitive pay
health insurance
401K
stock purchase plans
tuition reimbursement
paid time off plus holidays
a flexible approach to work with remote, hybrid, field or office work schedules
Total compensation may also include additional forms of incentives