Job Information
Centene Corporation Care Manager I (RN) in CHICAGO, Illinois
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
THIS POSITION IS REMOTE/WORK FROM HOME WITH 25% TRAVEL IN ASSIGNED AREA OF COOK COUNTY ILLINOIS TO SUPPORT OUR YOUTHCARE/FOSTER CARE PROGRAM.
APPLICANTS MUST RESIDE IN ONE OF THE FOLLOWING ILLINOIS ZIP CODES:
60609, 60615, 60616, 60617, 60619, 60620, 60621, 60628, 60629, 60632, 60633, 60636, 60637, 60638, 60643, 60649, 60652, 60653, 60655, 60664, 60669, 60686, 60686, 60689, 60695, 60696.
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
Develop, assess and adjust, as necessary, the care plan and promote desired outcome
Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
Provide patient and provider education
Facilitate member access to community based services
Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
Actively participate in integrated team care management rounds
Identify related risk management quality concerns and report these scenarios to the appropriate resources
Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
25% TRAVEL TO VISIT MEMBERS QUARTERLY WHO ARE HOME & COMMUNITY BASED WAIVER MEMBERS; TYPICALLY 5 - 6 MEMBERS IN THE CASE LOAD.
For Illinois Youth Care contract: Required Education/Experience: Bachelor's degree in nursing and state RN licensure required. One year of clinical experience is required. Candidates are required to live within the above specified region/zip codes.
Licenses/Certifications: Current state’s RN license, Valid driver’s license and proof of car insurance.
Pay Range: $54,000.00 - $97,100.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Centene Corporation
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