Care Manager (RN) - Northern NJ
Location: Newark
Posted on: June 23, 2025
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Job Description:
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. Multiple positions open for Bergen,
Essex, Hudson, Morris, Passaic, Sussex, and Warren counties. 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 the plan for the best outcome Develops ongoing care
plans / service plans and identifies providers, specialists, and/or
community resources to address member's unmet needs Identifies
barriers to care and provide appropriate care management
interventions Coordinates between the member, family/caregivers,
and the care provider team to ensure members are receiving adequate
and appropriate person-centered care services Provides ongoing
monitoring of member status and progress towards care plan
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 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 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
Keywords: , Trenton , Care Manager (RN) - Northern NJ, Healthcare , Newark, New Jersey
