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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 services. Proficient in regulatory compliance and providing education on healthcare benefits and disease processes.
Highest-signal resume keywords
Registered Nurse (RN) LicensureCare ManagementRegulatory ComplianceMember EducationCollaboration with Providers
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 OutreachSocial Determinants of Health EvaluationResource Support CoordinationMonitoring and Follow-Up
Soft Skills
Leadership FeedbackProblem SolvingCommunicationCollaborationEmpathy
Certifications & Qualifications
Bachelor's Degree in NursingAccredited School of Nursing Degree
Industry Keywords
Care Management ActivitiesPerson-Centered CareHealthcare BenefitsCompliance StandardsLocal Travel
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 service plans
- Collaborate with providers, specialists, caregivers, and community resources
- Identify problems and barriers to care and provide interventions
- Coordinate person-centered care and services
- Follow up and monitor member status, condition changes, and progress toward care 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 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 assigned duties and comply with policies and standards
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
- Ability to support members in Wayne and Macomb counties
- Monday–Friday availability, 8am–5pm
- Ability to travel locally up to 75%
- Compliance with applicable policies, standards, and regulatory requirements
Benefits
Comp & perks- $5,000 sign-on bonus
- Required equipment provided
- Mileage reimbursement at the current IRS rate
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to remote, hybrid, field or office work schedules
- Competitive pay
- Additional forms of incentives may be included in total compensation