Full-Time
Care Manager
RN, Pediatric
Posted on 2/4/2025
Centene
10,001+ employees
Provides health insurance and services
Compensation Overview
$55.1k - $99kAnnually
Mid
Fort Myers, FL, USA
Candidate must reside in Lee County for face-to-face visits with members.
- 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
- 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 and/or facilitates the plan for the best outcome
- Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs
- Identifies problems/barriers to care and provide appropriate care management interventions
- Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
- Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; 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 local resources 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
- Other duties or responsibilities as assigned by people leader to meet business needs
- Performs other duties as assigned
- Complies with all policies and standards
Centene Corporation operates in the healthcare industry, focusing on providing health insurance and services to individuals, particularly those who are underinsured or uninsured. The company offers a variety of health insurance products, including medical, dental, vision, and behavioral health services, as well as pharmacy benefits. Centene's business model emphasizes a localized approach, allowing it to tailor its services to meet the specific needs of different communities across the United States. This strategy sets Centene apart from competitors by ensuring that care is relevant and accessible to its members. The company generates revenue primarily through premiums collected from its 27.5 million members, amounting to $140.1 billion in 2023. Centene's goal is to improve health outcomes while managing costs, and it is committed to corporate sustainability, addressing social barriers to health, and supporting employee well-being through flexible work arrangements.
Company Size
10,001+
Company Stage
IPO
Headquarters
Saint-Louis, Senegal
Founded
1984
Simplify's Take
What believers are saying
- Telehealth expansion offers Centene a growing market for remote healthcare solutions.
- Value-based care models align with Centene's cost-effective healthcare delivery strategy.
- Addressing social determinants of health enhances Centene's community health initiatives.
What critics are saying
- Cybersecurity vulnerabilities could impact Centene's reputation and financial stability.
- The Bowen Homes project may face financial risks from potential delays or cost overruns.
- Investor pressure for short-term gains may affect Centene's long-term strategic goals.
What makes Centene unique
- Centene's localized approach tailors healthcare services to specific community needs.
- The company focuses on underinsured and uninsured individuals, a unique market segment.
- Centene integrates medical, dental, vision, and behavioral health services for comprehensive care.
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Benefits
Health Insurance
401(k) Retirement Plan
401(k) Company Match
Paid Vacation
Hybrid Work Options
Flexible Work Hours
Company News
ST. LOUIS, March 7, 2025 /PRNewswire/ - Centene Corporation (NYSE: CNC), a leading healthcare enterprise committed to helping people live healthier lives, announced today it will present via webcast at the Barclays 27th Annual Global Healthcare Conference on Wednesday, March 12, 2025, at 2:30 p.m. EDT.
ST. LOUIS, March 7, 2025 /PRNewswire/ -- Centene Corporation (NYSE: CNC), a leading healthcare enterprise committed to helping people live healthier lives, announced today it will present via webcast at the Barclays 27th Annual Global Healthcare Conference on Wednesday, March 12, 2025, at 2:30 p.m. EDT. The live webcast will be available here: Centene's Presentation.A webcast replay will be available following the presentation on Centene's website, www.centene.com, under the Investors section.About Centene CorporationCentene Corporation , a Fortune 500 company, is a leading healthcare enterprise that is committed to helping people live healthier lives. The Company takes a local approach – with local brands and local teams – to provide fully integrated, high-quality and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Centene offers affordable and high-quality products to more than 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace.Centene uses its investor relations website to publish important information about the Company, including information that may be deemed material to investors
The collaboration will renew the Bowen Homes community to provide access to quality housing, healthcare and community resourcesATLANTA, March 5, 2025 /PRNewswire/ – Peach State Health Plan, a care management organization serving Georgians, and the Centene Foundation, the philanthropic arm of Centene Corporation (NYSE: CNC), today joined Atlanta Housing ("AH") and the City of Atlanta to break ground on the redevelopment of the Bowen Homes community in Atlanta, Georgia. Peach State Health Plan and the Foundation's investment will support efforts by McCormack Baron Salazar (MBS) to build a community designed to address health disparities and advance community health in the city.The Centene Foundation's funding contribution is the first state-level deployment of the Foundation's partnership with MBS, as announced in 2024. Below market-rate loans support predevelopment design, planning work and local community engagement while unlocking additional financing needed to accelerate projects."Peach State Health Plan is committed to addressing drivers of health – and that starts with ensuring all Georgians have access to both quality housing and healthcare," said Clyde A. White, President of Peach State Health Plan. "Through our continued investment in Bowen Homes, we are creating real opportunities for families to thrive in a neighborhood designed with health, empowerment and resilience at its core."The plan for the site will be community-focused with more than 750 residential units, and recreational amenities including outdoor plazas, seating, walking trails and more, along the Donald Lee Hollowell Parkway and James Jackson Parkway corridors in the Carey Park neighborhood."By combining affordable housing, nutrition education, and behavioral and physical health resources, we can actively improve the quality of life for Georgians," said Centene Foundation President Keith Williamson. "Centene Foundation's partnership with MBS allows us to address healthcare challenges head on – increasing healthcare access, closing long-term health disparities and improving health outcomes."The Centene Foundation and Peach State Health Plan's commitment in the Bowen Homes project builds on its broader investments in creating positive local impact and commitment to fostering long-term health by actively working with the community to shape approaches, connecting residents to essential healthcare and social services, and addressing community needs and vital resources, such as education opportunities for nutrition, behavioral health and maternal care
Community-based organizations and providers across Texas can apply for funding through March 31, 2025.AUSTIN, Texas, March 4, 2025 /PRNewswire/ -- Superior HealthPlan ("Superior"), a leading managed care organization in Texas and a company of Centene Corporation (NYSE: CNC), is accepting applications for its annual grant program, open to community-based organizations and providers in Texas. The funding is targeted to address non-medical drivers of health, also known as social determinants of health, to meet the needs of low-income neighborhoods throughout the state."We are pleased to continue the Superior HealthPlan grant program that will support organizations and providers in Texas that make a difference in our communities," said Superior HealthPlan President and CEO, Mark Sanders. "Superior has provided these community grants for years and is looking forward to continuing this important program."Since 2020, Superior has provided more than $740,000 in funding to community partners and providers through its grant program, which addresses barriers to health and wellness, such as access to food, economic stability, housing, education, and other critical needs.In 2025, ten community-based organizations and ten providers will be selected to receive one of these grants, each receiving $10,000 in funding, for a total of $200,000. The funding will be made available in April.To apply, organizations and providers must meet the following criteria:Grant recipients must serve the Medicaid population.Recipients must allow an end-of-term follow-up visit by December 15 to show funding outcomes.to show funding outcomes. Funds cannot cover staff salaries or benefits.Recipients must be based in Texas and serve Texas residents.and serve residents. All required documents (signed agreement, W-9, vendor forms, etc.) must be submitted by April 30, 2025 .Applications are due by March 31, 2025
Centene appoints Kenneth Y. Tanji to Board of Directors.