Supervisor, Care Management (RN)

Centene Corporation • DE

96d • $85,300 - $158,100

About The Position

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 a hybrid role that requires fieldwork within the state of Delaware. 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.

Requirements

• Graduate from an Accredited School of Nursing or a Bachelor's degree.
• 4+ years of related experience.
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required.

Responsibilities

• Supervises the care management team and the care management of members.
• 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.
• 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.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees