Senior Care Manager, RN

Centene Corporation

. Assess, plan, and implement complex care management activities .

Posted 10/27/2026full-timeRemote • North Carolina • United StatesSenior💰 $75,300 - $135,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care management activities, including developing personalized care plans and collaborating with healthcare providers. Proficient in assessing member needs, monitoring progress, and ensuring regulatory compliance while providing education and support to members and families.

Highest-signal resume keywords

Active RN LicenseCare Management ExperienceStrong Assessment SkillsPediatric Population ExperienceComputer Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Care ManagementPersonalized Care PlansMember AssessmentData ReviewRegulatory ComplianceTelephonic OutreachDigital OutreachHome OutreachSite OutreachCare Management Interventions

Soft Skills

Excellent Communication SkillsCustomer Service SkillsAttention to DetailOrganizational AbilitiesTime Management Skills

Tools & Technologies

Microsoft Applications

Certifications & Qualifications

RN - Registered Nurse - State LicensureCompact State Licensure

Industry Keywords

Care Management for At-Risk ChildrenPediatric CareHealthcare CollaborationQuality ImprovementCost-Effective Care

About the role

Key responsibilities & impact

Assess, plan, and implement complex care management activities
Develop personalized care plans/service plans for members
Continuously assess care plans and collaborate with providers, specialists, and community resources
Coordinate between members/families/caregivers and care provider teams
Monitor member status, condition changes, progress, and care plan goals
Identify barriers and care management interventions for escalated cases
Review member data, referrals, and intake assessments to improve quality and develop care plans
Perform telephonic, digital, home, and/or site outreach
Collaborate with healthcare providers to facilitate services and treatments
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 benefits
Partner with leadership to improve cost-effective care and quality delivery
May precept clinical new hires and provide coaching, shadowing, onboarding, and competency support
Collaborate with People Leaders and cross-functional teams to monitor readiness
Perform other assigned duties and comply with policies and standards

Requirements

What you’ll need

Must reside in North Carolina
Active RN license required
RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
4–6 years of related experience
Experience working with the pediatric population, specifically in CMARC (Care Management for At-Risk Children), ideal
Experience in care management
Strong assessment skills
Computer proficiency, including Microsoft applications
Excellent communication and customer service skills
Attention to detail
Strong organizational and management abilities
Effective time management skills
Monday through Friday availability from 8:00 AM to 5:00 PM

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
Diversity-focused equal opportunity employer