Centene Corporation
Join to apply for the
Pediatric Care Manager (RN)
role at
Centene Corporation 1 week ago Be among the first 25 applicants Join to apply for the
Pediatric Care Manager (RN)
role at
Centene Corporation You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
This position is remote/field based with local travel required for member visits up to 80% of the time. Candidates should reside in Miami-Dade County, FL and hold licensure in the State of Florida to be considered. A minimum of two (2) years of pediatric experience is required.***
Candidates must be willing to work one of the following schedules
Tuesday - Saturday, 8 hours per day Wednesday - Saturday, 10 hours per day
Position Purpose
Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
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.
Education/Experience
Requires a degree from an accredited school of nursing or a Bachelor's degree in nursing and 2 – 4 years of related experience.
License/Certification
RN - Registered Nurse - State Licensure and/or Compact State Licensure required For Sunshine Health (FL) Only Employees supporting Florida's Children’s Medical Services (CMS) must have a minimum of two years of pediatric experience. May require up to 80% local travel required
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care and Insurance Referrals increase your chances of interviewing at Centene Corporation by 2x Sign in to set job alerts for “Care Manager” roles.
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Pediatric Care Manager (RN)
role at
Centene Corporation 1 week ago Be among the first 25 applicants Join to apply for the
Pediatric Care Manager (RN)
role at
Centene Corporation You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
This position is remote/field based with local travel required for member visits up to 80% of the time. Candidates should reside in Miami-Dade County, FL and hold licensure in the State of Florida to be considered. A minimum of two (2) years of pediatric experience is required.***
Candidates must be willing to work one of the following schedules
Tuesday - Saturday, 8 hours per day Wednesday - Saturday, 10 hours per day
Position Purpose
Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
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.
Education/Experience
Requires a degree from an accredited school of nursing or a Bachelor's degree in nursing and 2 – 4 years of related experience.
License/Certification
RN - Registered Nurse - State Licensure and/or Compact State Licensure required For Sunshine Health (FL) Only Employees supporting Florida's Children’s Medical Services (CMS) must have a minimum of two years of pediatric experience. May require up to 80% local travel required
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care and Insurance Referrals increase your chances of interviewing at Centene Corporation by 2x Sign in to set job alerts for “Care Manager” roles.
Florida, United States $55,100.00-$99,000.00 1 week ago Florida, United States $55,100.00-$99,000.00 1 week ago Florida, United States $55,100.00-$99,000.00 1 week ago Florida, United States $55,100.00-$99,000.00 1 week ago Florida, United States $55,100.00-$99,000.00 1 week ago Florida, United States $55,100.00-$99,000.00 1 week ago West Palm Beach, FL $55,100.00-$99,000.00 1 week ago Florida, United States $65,000.00-$85,000.00 1 month ago West Palm Beach, FL $55,100.00-$99,000.00 1 week ago West Palm Beach, FL $55,100.00-$99,000.00 1 week ago Florida, United States $55,100.00-$99,000.00 1 week ago Florida, United States $55,100.00-$99,000.00 21 hours ago West Palm Beach, FL $55,100.00-$99,000.00 1 week ago Fort Myers, FL $55,100.00-$99,000.00 1 week ago Florida, United States $55,100.00-$99,000.00 1 week ago Ocala, FL $55,100.00-$99,000.00 1 week ago Patient Care Manager III (South Florida)
Florida, United States $84,000.00-$105,000.00 2 weeks ago Florida, United States $22.50-$38.02 6 days ago Centralized Medical Services - Team Lead, Care Management
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Chronic Care Manager (Remote - Compact States)
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Florida, United States $26.50-$47.59 1 week ago Florida, United States $26.50-$47.59 1 week ago Florida, United States $55,100.00-$99,000.00 1 week ago Florida, United States $26.50-$47.59 1 week ago West Palm Beach, FL $26.50-$47.59 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr