Centene Corporation
Supervisor, Care Management (RN)
Centene Corporation, Lansing, Michigan, United States, 48900
Position Purpose
Supervises the care management team and the care management of members to promote quality and efficacy of care management delivery. Supervises day-to‑day escalations and care management issues related to members or providers.
Monitors and reviews care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements
Assigns caseloads and work assignments to care management team based on state requirements, care management staff experience, and member needs
Works with senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns
Educates and provides resources for care management team on key initiatives and member outreach to facilitate on‑going communication between care management team, members, and providers
Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones
May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
Provides coaching and guidance to care management team to improve member and provider experience and high‑quality care
Assists with onboarding, hiring, and training care management team members
Leads and champions change within scope of responsibility
Performs other duties as assigned
Complies with all policies and standards
Education/Experience Requires Graduate from an Accredited School or Nursing or a Bachelor's degree and 4+ years of related experience.
License/Certification
RN – Registered Nurse – State Licensure and/or Compact State Licensure required
Pay Range $87,000.00 – $161,300.00 per year
Benefits 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.
Equal Opportunity Employer 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.
Fair Chance Employment Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.
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Monitors and reviews care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements
Assigns caseloads and work assignments to care management team based on state requirements, care management staff experience, and member needs
Works with senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns
Educates and provides resources for care management team on key initiatives and member outreach to facilitate on‑going communication between care management team, members, and providers
Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones
May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
Provides coaching and guidance to care management team to improve member and provider experience and high‑quality care
Assists with onboarding, hiring, and training care management team members
Leads and champions change within scope of responsibility
Performs other duties as assigned
Complies with all policies and standards
Education/Experience Requires Graduate from an Accredited School or Nursing or a Bachelor's degree and 4+ years of related experience.
License/Certification
RN – Registered Nurse – State Licensure and/or Compact State Licensure required
Pay Range $87,000.00 – $161,300.00 per year
Benefits 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.
Equal Opportunity Employer 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.
Fair Chance Employment Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.
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