Pediatric RN Care Manager
Vacancy expired!
Pediatric case management for members ages (0-21 years). RN needed for role. Hybrid work-from-home role with home visits the following Florida counties based on where you live: Hernando, Hillsborough, Polk, Manatee, Hardee, Highlands, Southern Lee, Collier, Leon, Marion, Miami-Dade, Palm Beach, Seminole, Orange, Brevard, Osceola, Volusia (Fort Myers, Tallahassee, Ocala, Miami Gardens, Miami, Palm Beach Gardens, Boca Raton, Oviedo, Orlando, Daytona Beach, FL). Preference for residence in the above-mentioned areas of Florida.You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you'll have access to 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
- Flexible work solutions including remote options, hybrid work schedules and dress flexibility
- Competitive pay
- Paid Time Off including paid holidays
- Health insurance coverage for you and dependents
- 401(k) and stock purchase plans
- Tuition reimbursement and best-in-class training and development
Vacancy expired!