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Transforming the health of the communities we serve, one person at a time.
RN, Utilization Review – Care Manager
Location
United States
Posted
112 days ago
Salary
$56.2K - $101K / year
Seniority
Mid Level
Job Description
RN, Utilization Review – Care Manager
Centene Corporation
• Develops, assesses, and facilitates complex care management activities for primarily physical needs members • Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs • Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs • Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
Job Requirements
- Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
- 2 – 4 years of related experience
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
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
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