Supervisor, Care Management (RN)

Centene Corporation

3d • $87,000 - $161,300 • Remote

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. Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Florida. The position requires a Florida RN license and previous pediatrics / foster care experience are strongly preferred. The work schedule is Monday - Friday, 8am - 5pm. Position Purpose: Supervises the care management team and the care management of members to promote quality and efficacy of care management delivery.

Requirements

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

Nice To Haves

• previous pediatrics / foster care experience are strongly preferred

Responsibilities

• 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

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager