Care Manager II (RN)
Company: Centene Corporation
Location: Lawton
Posted on: November 18, 2023
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Job Description:
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.
Additional requirements for LHCC (LA) for only DOJ positions:
Licenses/Certifications: Current state's RN license.
Texas Requirements:
Education/Experience: Graduate from an Accredited School of
Nursing. Bachelor's degree in Nursing preferred. 2+ years of
clinical nursing or case management experience in a clinical, acute
care, managed care or community setting. 2+ years experience
working with people with disabilities and vulnerable populations
who have chronic or complex conditions in a managed care
environment. Experience with medical decision support tools (i.e.
Interqual, NCCN) and government sponsored managed care programs.
Other state specific requirements may apply.
Licenses/Certifications: Current state's RN license.
For New Hampshire Healthy Families: Candidates with active RN
license in good standing in other states than NH, must obtain the
NH RN equi within 90 days of hire. Active driver's license in good
standing preferred. CCM preferred.
For Arizona Complete Health - Complete Care plan: Pediatrics
assignments require 2+ years' RN experience in pediatrics (clinical
acute care, community or managed care setting) and 1+ year
experience in care management
Obstetrics (OB) assignments require 2+ years' RN experience in OB
(clinical, acute, community or managed care setting) and 1+ year
experience in care management
Licenses/Certifications: Current state's RN license.
For Buckeye Community Health Plan:
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 and 1+ years of case management or utilization experience
in a managed care setting. Knowledge of utilization management
principles and healthcare managed care. Experience with medical
decision support tools (i.e. Interqual, NCCN) and government
sponsored managed care programs.
Licenses/Certifications: Current state's RN license.
For Michigan Complete Health: Licensed registered nurse; licensed
nurse practitioner; licensed physician's assistant. Valid driver's
license required.
For North Carolina only: Care Managers, this individual shall be
responsible for conducting all functions and activities of the care
management program and serve as the lead for each care management
teams.
Behavioral Health (BH) Managers and Full-Time BH Staff: These
individuals shall be responsible for integrating into the clinical
and care management teams to ensure Member's behavioral health
needs are fully integrated into the service delivery system.
For Sunshine Health (FL) Only: Employees supporting Florida's
Children's Medical Services (CMS) must have a minimum of two years
of pediatric experience. May require up to 80% local travel.
For Shared Services: Clinical licensure for multiple states is
required.
For Illinois Youth Care contract: Required Education/Experience -
Bachelor's Degree in nursing and RN licensure required. Two plus
years of clinical experience required. For Illinois YouthCare plan
only: Candidates are required to live within the specified
region.
For Oklahoma Complete Health Only: Registered nurse with a license
to practice in the State of Oklahoma. Must successfully complete
the Behavioral Health Case Manager certification training provided
through the Department of Mental Health and Substance Abuse
Services within (6) months of date of hire.
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 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.
Keywords: Centene Corporation, Lawton , Care Manager II (RN), Executive , Lawton, Oklahoma
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