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RN Care Manager – OB
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 for members with physical needs, focusing on evaluating member needs, developing care plans, and coordinating with healthcare providers. Proficient in regulatory compliance and educating members and families on healthcare options and benefits.
Highest-signal resume keywords
Registered Nurse - RN LicensureCare ManagementPatient AssessmentCare Plan DevelopmentRegulatory Compliance
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 EvaluationCare Plan DevelopmentDocumentation of Care Management ActivitiesTelephonic OutreachDigital OutreachHome OutreachResource SupportMonitoring Member StatusIntervention Strategies
Soft Skills
CollaborationCommunicationLeadership FeedbackProblem-SolvingEmpathy
Certifications & Qualifications
Degree in NursingState Licensure
Industry Keywords
Social Determinants of HealthPerson-Centered CareHealthcare BenefitsCare GapsCommunity Resources
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 access, 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 care management interventions
- Coordinate between members, caregivers, and care provider teams to ensure appropriate person-centered care
- Follow up and monitor member status, condition changes, 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/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
- Perform other assigned duties and comply with company 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 work remotely from home anywhere within the state of Missouri
- Monday–Friday, 8am–5pm work schedule
- Compliance 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