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Care Manager (RN) - Hudson and/or Bergen County image - Rise Careers
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Care Manager (RN) - Hudson and/or Bergen County

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.
 

Must reside in Bergen and/or Hudson County to travel for home visits within these regions. Travel up to 75% required.

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

  • Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome
  • Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs
  • Identifies problems/barriers to care and provide appropriate care management interventions
  • Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
  • Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs
  • Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate
  • Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services
  • May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
  • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
  • Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
  • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
  • Other duties or responsibilities as assigned by people leader to meet business needs
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience: Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.

License/Certification:
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required

Pay Range: $55,100.00 - $99,000.00 per year

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.

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.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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Average salary estimate

$77050 / YEARLY (est.)
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$55100K
$99000K

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What You Should Know About Care Manager (RN) - Hudson and/or Bergen County, Centene

As a Care Manager (RN) at Centene, you'll have the unique opportunity to change lives for 28 million members across Hudson and Bergen Counties. Imagine playing a pivotal role in transforming healthcare outcomes for individuals with complex needs. This is not just a job; it’s a chance to make a real difference in people’s lives. You’ll assess and develop personalized care plans, ensuring our members receive high-quality and cost-effective healthcare tailored to their unique situations. With a travel requirement of up to 75% within these regions, you’ll conduct home visits and collaborate directly with patients, their families, and a team of healthcare providers to identify and address barriers to care. Your initiatives will be pivotal in enhancing access to resources such as housing and employment services. If you're an experienced RN looking to elevate your career while impacting community health significantly, this is an incredible opportunity. Plus, you’ll enjoy the flexibility of a remote work environment while being part of a diverse and supportive organization that truly values your contributions. At Centene, your insights into care management will inform leadership decisions and strategies aimed at improving service delivery for our members. This position not only promises professional growth but also the satisfaction of knowing that your work directly contributes to the health and wellbeing of your community. Join us and be part of a health transformation journey that prioritizes the individual needs of our members like never before!

Frequently Asked Questions (FAQs) for Care Manager (RN) - Hudson and/or Bergen County Role at Centene
What are the main responsibilities of a Care Manager (RN) at Centene?

As a Care Manager (RN) at Centene, your primary responsibilities include assessing members' care needs, developing personalized care plans, and collaborating with healthcare providers. You will identify barriers to care, coordinate interventions, and ensure ongoing monitoring of members’ progress toward their health goals.

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What qualifications are needed to apply for the Care Manager (RN) position at Centene?

To apply for the Care Manager (RN) position at Centene, you will need a degree from an accredited nursing school, along with an active RN state licensure. Additionally, 2 to 4 years of related experience in nursing or healthcare management is required for this role.

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How does Centene support its Care Managers (RN) in their roles?

Centene supports its Care Managers (RN) by providing a comprehensive benefits package, ongoing training, and access to resources essential for effective care management. This includes a focus on professional growth and opportunities to give feedback on improving care delivery processes.

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Is travel required for the Care Manager (RN) position at Centene?

Yes, the Care Manager (RN) position at Centene requires travel within Hudson and Bergen Counties for home visits, with an expectation of up to 75% travel to meet members where they are and ensure they receive adequate care.

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What is the salary range for the Care Manager (RN) position at Centene?

The salary range for the Care Manager (RN) position at Centene is between $55,100 and $99,000 per year, depending on your skills, experience, and other job-related factors. Centene also offers various incentives and a comprehensive benefits package.

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Common Interview Questions for Care Manager (RN) - Hudson and/or Bergen County
How do you prioritize care for multiple members with complex needs?

When prioritizing care, it's important to assess each member's unique situation and needs. I would categorize their needs based on urgency and potential impact on their health, ensuring that those requiring immediate intervention are addressed first. Collaboration with the care team for timely follow-ups is crucial.

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Can you describe a challenging case you've managed and how you approached it?

In a previous role, I managed a member with multiple chronic conditions. I approached this by coordinating with a multidisciplinary team, developing a comprehensive care plan, and engaging in regular communication with the member to adjust the plan as needed. This led to improved health outcomes and satisfaction.

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What strategies do you use to manage barriers to care?

I utilize a person-centered approach by identifying barriers through open communication with members. I then connect them with necessary resources and support, such as financial assistance or transportation services, to facilitate access to care.

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How do you ensure that care plans meet the needs of members?

I involve members and their caregivers in the care plan development actively, ensuring their preferences and priorities are addressed. Regular follow-ups and adjustments to the plan based on ongoing assessments help keep it aligned with their evolving needs.

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What tools or technologies have you used in care management?

I've used electronic health records and care management software to track member progress, document interactions, and coordinate care with other providers. Utilizing telehealth platforms has also allowed for timely communication with members and healthcare teams.

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How do you stay updated on healthcare policies and regulations?

I stay informed by subscribing to industry newsletters, attending webinars, and participating in professional nursing organizations. Continuous education is vital in adapting to regulatory changes that affect care delivery.

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How would you handle conflict with a colleague regarding care management?

I believe in open communication. I would set up a meeting to discuss our differing perspectives and focus on finding common ground for the benefit of the member's care. Collaboration and respect are key in resolving conflicts.

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What do you consider the most important aspect of patient care?

The most crucial aspect of patient care is building trust. Creating strong relationships with members allows for better communication regarding their health needs, leading to improved adherence to care plans and overall satisfaction.

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What role do you see yourself playing in a multidisciplinary care team?

I view myself as a facilitator and advocate for the member. In a multidisciplinary care team, my role would be to coordinate communication among team members, ensuring that the member's voice and preferences are prioritized in decision-making.

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Why do you want to work as a Care Manager (RN) at Centene?

I am passionate about improving healthcare access and outcomes for underserved populations. Working at Centene aligns with my values of community health, and I admire the organization's commitment to transforming healthcare one member at a time. This role will allow me to make a tangible impact.

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

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Full-time, remote
DATE POSTED
April 15, 2025

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