Full-Time

Care Manager

RN

Confirmed live in the last 24 hours

Centene

Centene

10,001+ employees

Provides health insurance and services

Healthcare

Compensation Overview

$55.1k - $99kAnnually

Mid

Lyndhurst, NJ, USA + 2 more

More locations: South Orange, NJ, USA | Saddle Brook, NJ, USA

Must reside in Bergen, Passaic and/or Essex County to travel for home visits within these regions. Travel up to 75% required.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary

You match the following Centene's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • 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
Responsibilities
  • Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends the plan for the best outcome
  • Develops ongoing care plans / service plans and identifies providers, specialists, and/or community resources to address member's unmet needs
  • Identifies barriers to care and provide appropriate care management interventions
  • Coordinates between the member, family/caregivers, and the care provider team to ensure members are receiving adequate and appropriate person-centered care services
  • Provides ongoing monitoring of member status and progress towards care plan
  • Collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs
  • Provides resource support to members and care managers for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate
  • Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services
  • May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
  • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
  • Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
  • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
  • Complies with all policies and standards

Centene Corporation provides health insurance and services primarily to underinsured and uninsured individuals in the United States. The company offers a range of products, including medical, dental, vision, and behavioral health services, using a localized approach to meet community needs. Centene stands out from competitors by focusing on cost-effective, high-quality care and addressing social barriers to health. Its goal is to improve health outcomes while ensuring employee well-being and corporate sustainability.

Company Stage

IPO

Total Funding

N/A

Headquarters

Saint-Louis, Senegal

Founded

1984

Simplify Jobs

Simplify's Take

What believers are saying

  • Centene's membership increased by 12% in Marketplace and 50% in Medicare PDP in 2024.
  • The expansion of low-cost plans like Fidelis Care's Essential Plan increases healthcare accessibility.
  • Centene's ICHRA plans offer customizable and transparent health insurance options.

What critics are saying

  • Increased competition in the Health Insurance Marketplace may pressure Centene's market share.
  • Reliance on government contracts exposes Centene to political and policy changes.
  • Natural disasters and new health threats could strain Centene's operational capabilities.

What makes Centene unique

  • Centene's localized approach tailors healthcare services to specific community needs.
  • The company offers a wide range of health insurance products through local brands.
  • Centene focuses on cost-effective, high-quality care for underinsured and uninsured individuals.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Health Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Hybrid Work Options

Flexible Work Hours