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Senior RN Care Manager – Maternity Substance Use
Centene Corporation. Assess, plan, and implement complex care management activities for pregnant and postpartum members with a history of substance misuse .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management for pregnant and postpartum members, particularly those with substance misuse histories, while ensuring regulatory compliance and effective collaboration with healthcare providers and community resources.
Highest-signal resume keywords
Registered Nurse - RNCare ManagementMaternal HealthSubstance AbuseRegulatory 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 Plan DevelopmentData AssessmentCare CoordinationTelephonic OutreachDocumentationMember EducationIntervention StrategiesClinical OnboardingPerformance ImprovementFace-to-Face Visits
Soft Skills
CollaborationCoachingCommunicationProblem-SolvingEmpathy
Certifications & Qualifications
State LicensureCompact State Licensure
Industry Keywords
Substance MisusePostpartum CareHealthcare BenefitsCommunity ResourcesCare Gaps
About the role
Key responsibilities & impact- Assess, plan, and implement complex care management activities for pregnant and postpartum members with a history of substance misuse
- Develop and continuously assess personalized care plans/service plans
- Collaborate with providers, specialists, community resources, members, and caregivers to address unmet needs
- Coordinate member care and monitor status, conditions, progress, and care-plan goals
- Identify barriers and appropriate care-management interventions for escalated cases
- Review member data, referrals, and intake assessments to improve care quality and operating performance
- 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
- Partner with leadership to improve cost-effective care and quality delivery
- Precept and support clinical new hires during onboarding, competency checkpoints, coaching, and field-practice preparation
- Perform other duties as assigned 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
- 4–6 years of related experience
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
- Candidates must reside in Indiana
- Preference for professional experience related to maternal health and/or substance abuse
- Availability Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern
- Ability to conduct face-to-face visits with members throughout Indiana
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Mileage compensation for face-to-face visits with members