Pediatric Nurse - RN

Centene • Austin, TX

415d • $72,405 - $130,083

About The Position

The Pediatric Nurse - RN position at Centene Corporation focuses on providing care management for pediatric members in the Austin/Travis County area. The role involves assessing and coordinating medical and supporting services for complex and high-acuity populations, developing personalized care plans, and ensuring members receive high-quality care. The position requires travel for member visits three days a week and emphasizes collaboration with healthcare providers and community resources to enhance service delivery.

Requirements

• Graduate from an Accredited School of Nursing or a Bachelor's degree with 4-6 years of related experience.
• RN - Registered Nurse - State Licensure or Compact State Licensure required.
• NP - Nurse Practitioner - Current State's Nurse Licensure required.
• Resource Utilization Group (RUG) certification must be obtained within 90 days of hire.

Nice To Haves

• Clinical RN nursing experience with direct patient care.
• Experience in Pediatrics, NICU, PICU, Pediatric ER, or Home Health.
• Experience in Case Management and Service Coordination for medical services.

Responsibilities

• Perform care management duties to assess and coordinate medical and supporting services for pediatric members.
• Develop personalized care plans for long-term care members and educate families on available services.
• Evaluate service needs of high-risk members and recommend plans for optimal outcomes.
• Continuously assess and update long-term care plans in collaboration with the care management team.
• Monitor care plans and member status, revising as necessary to meet goals.
• Review member data to identify trends and improve care quality in compliance with regulations.
• Collaborate with healthcare providers to facilitate member services and treatments.
• Document and maintain member information to ensure compliance with guidelines.
• Educate members and families on disease processes and healthcare options.
• Act as a liaison and advocate for members between families, physicians, and agencies.
• Coordinate community resources and service authorizations for members.
• Perform home visits to assess member needs and collaborate with resources.
• Partner with leadership to enhance quality of care and service delivery.
• Precept clinical new hires and provide guidance during their onboarding process.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules including remote, hybrid, field, or office work.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree