Supervisor, Care Management (RN)

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.
 

Remote Opportunity!

Centene is hiring a Supervisor, Care Management RN to support our Oklahoma Medicaid plan. The ideal candidate will have experience in Maternity/NICU, managed care, and strong leadership skills.

We will consider candidates in Florida, Louisiana, Georgia, Alabama, North Carolina, and South Carolina who meet the above criteria and hold a compact state nursing license.

Must be able to work in the Central Time (CST) zone.

Join Centene and make a difference in the lives of our members!

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

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 …