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Senior Care Manager, RN – STAR/CHIP
Centene Corporation. Assess, plan, and implement complex care management activities .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical nursing and care management, focusing on personalized care planning, member education, and regulatory compliance. Proven ability to collaborate with healthcare providers and coordinate care effectively while maintaining strong clinical documentation and problem-solving skills.
Highest-signal resume keywords
Registered Nurse - State LicensureClinical Nursing ExperienceCare CoordinationClinical DocumentationProblem-Solving Skills
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 ActivitiesPersonalized Care PlansClinical AssessmentMember OutreachCare TransitionsAccess To CareFamily EducationService CoordinationRegulatory ComplianceData Review
Soft Skills
Communication SkillsAttention To DetailOrganization SkillsTime ManagementFlexibility
Certifications & Qualifications
RN - Registered Nurse
Industry Keywords
MedicaidSTARCHIPPatient EducationCare Gaps
About the role
Key responsibilities & impact- Assess, plan, and implement complex care management activities
- Develop personalized care plans/service plans for members
- Address member issues and educate members and caregivers on services and benefit options
- Continuously assess care plans and collaborate with providers, specialists, and community resources
- Coordinate between members, families/caregivers, and care provider teams
- Monitor member status, changes in condition, and progress toward care goals
- Identify problems, barriers, and appropriate interventions for escalated cases
- Review member data, referrals, and intake assessments to improve care quality and develop care plans
- Perform telephonic, digital, home, and/or other site outreach
- Collaborate with healthcare providers to facilitate services and treatments
- Collect, document, and maintain member information and care management activities for regulatory compliance
- Provide education on disease processes, care gaps, provider instructions, care options, referrals, and healthcare 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
- Engage with People Leaders and cross-functional teams to monitor new-hire readiness
- Perform other duties as assigned and comply with policies and standards
Requirements
What you’ll need- Graduate of an Accredited School of Nursing
- 4–6 years of clinical nursing, direct RN case management, and/or care coordination experience
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
- Knowledge and experience working with state-government sponsored programs (Medicaid, STAR, CHIP) is a plus
- Preferred: 7+ years of clinical nursing RN experience with direct patient care, clinical assessment, person-centered care planning, member outreach, care transitions, access to care, family and patient education, and ongoing service coordination
- Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and ability to work under quick TAT times and deadlines are required
- Ability to adapt to changing business needs with openness, flexibility, and professionalism
- Candidates must physically reside in Texas due to occasional in-person staff trainings or meet-up sessions
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plan
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation