You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

　　Position Purpose: 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

　　For LTSS - 30% travel to perform home visits to members

　　For New Hampshire, Massachusetts, & Michigan Complete Health - home visits required

　　*Ideal candidates will have Compact RN license, experience in the field of behavioral health and who are located within the Eastern Time zone.**

　　Education/Experience: 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. Knowledge of healthcare and managed care preferred.

　　For Shared Services: Clinical licensure for multiple states is required.

　　Pay Range: $52,900.00 - $95,200.00 per year

　　Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

　　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.