[Hiring] RN Care Manager, Mother Baby, OB,GYN @Centene Corporation

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

Role Description

Evaluates the needs of the member, barriers to accessing appropriate care, and social determinants of health needs.
Develops ongoing care plans/service plans and collaborates with providers to identify resources to address member's unmet needs.
Identifies problems/barriers to care and provides appropriate care management interventions.
Coordinates between the member and/or family/caregivers and the care provider team to ensure adequate and appropriate person-centered care.
Provides ongoing follow-up and monitoring of member status, change in condition, and progress towards care plan/service plan goals.
Provides resource support to members and care managers for local resources for various services based on service assessment and plans.
Facilitates care management and collaborates with appropriate providers or specialists to ensure 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 regulations.
Provides and/or facilitates education to members and their families/caregivers on disease processes and healthcare options.
Provides feedback to leadership on opportunities to improve care and quality delivery for members.
Performs other duties as assigned.
Complies with all policies and standards.