Supervisor, Care Management (RN)
Remote-FL, United States
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.
- 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
This position is REMOTE. Candidates must be located in FL.
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
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. Total compensation may also include additional forms of incentives.
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
Job Profile
Holidays Must be located in Florida Position is remote
Benefits/Perks401(k) Competitive benefits Competitive pay Comprehensive benefits Comprehensive benefits package Flexible approach Flexible work schedules Health insurance Holidays Paid Time Off Stock purchase Stock purchase plans Tuition reimbursement Workplace flexibility
Tasks- Assess member needs
- Assign caseloads
- Compliance
- Ensure compliance
- Evaluate team performance
- Monitor Compliance
- Onboard new team members
- Provide guidance
- Supervise care management team
Access Benefits Care management Coaching Communication Compliance Documentation Education Health Insurance Insurance Management Member Outreach Nursing Onboarding Outreach Performance Evaluation RN Team Leadership Training
Experience4 years
EducationAS Bachelor's Bachelor's degree Education Graduate from accredited nursing school Insurance Nursing RN
CertificationsCompact State Licensure Registered Nurse RN RN - registered nurse State licensure
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9