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Care Manager II (RN) (5K sign on bonus)

Carolina Complete Health

This is a Full-time position in WILSONS MILLS, NC posted April 23, 2021.

Transforming the health of our community, one person at a time.

We’re Carolina Complete Health, a subsidiary of Centene Corporation, and we’re on a mission to impact the health of our communities by making healthcare accessible to everyone. As a diversified, multi-national Fortune 50 and rapidly growing organization, our mission is fueled by exceptional talent. We need people driven to make a difference. People like you. People who could change everything for over 25 million people.

Join our family today and take advantage of our generous benefits:

  • $5,000 sign-on bonus
  • Comprehensive insurance coverage
  • Tuition reimbursement

About You:

You are a highly collaborative, strategic risk-taker driven to make a difference and change the face of healthcare. You thrive in a supportive, result-oriented community and are committed to the relentless pursuit of continuous growth. Delivering patient-focused care while making a real impact is important to you – it is what sets you apart!

About Us:

We are revolutionizing the world of healthcare through digital transformation and building world-class healthcare solutions. Our high caliber teams deliver relevant solutions at the local level and use collective innovation to turn visions into action and challenge what is possible.

Centene is an industry leader with a local focus and a global vision:

  • Listed on Fortune magazine’s World’s Most Admired Companies List for 2nd consecutive year
  • National footprint across all 50 states, serving 1 in 15 individuals in the U.S.
  • Recognized as one of the Best Places to Work by the Human Rights Campaign Foundation

As aCare Manager RN you will:

Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.

  • Develop, assess and adjust, as necessary, the care plan and promote desired outcome
  • Assess the member’s current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
  • Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
  • Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member’s needs
  • Provide patient and provider education
  • Facilitate member access to community based services
  • Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
  • Actively participate in integrated team care management rounds
  • Identify related risk management quality concerns and report these scenarios to the appropriate resources
  • Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems

Qualifications – Additionally you will bring:

  • Graduate from an Accredited School of Nursing.
  • Bachelor’s degree in Nursing preferred.
  • 2+ years of clinical nursing experience in a clinical, acute care, or community setting.
  •  1+ years of case management experience in a managed care setting.
  • Current state’s RN license.
  • Must reside in North Carolina

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.