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September 21, 2020  
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Care Manager I (RN

Position Description

Care Manager I (RN)

USA-Georgia-Atlanta

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

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.

Licenses/Certifications: Current state s RN license.

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.

Clinical & Nursing

Full-time



Additional Information

Employment Type: Full-Time    
Position Location: Atlanta, Georgia


Apply For This Job: Care Manager I (RN


 

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