- 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
-
Practice Manager Primary Care
2 days ago
AdventHealth Medical Group Primary Care Orlando, United States**All the benefits and perks you need for you and your family**: · - Benefits from Day One · - Paid Time Off from Day One · - Career Development · - Whole Person Wellbeing Resources · - Mental Health Resources and Support · **Our promise to you**: · Joining AdventHealth is about ...
-
Pediatric Social Work Care Manager, Prn
14 hours ago
AdventHealth Orlando Orlando, United States**All the benefits and perks you need for you and your family**: · - Benefits from Day One · - Paid Days Off from Day One · - Career Development · - Whole Person Wellbeing Resources · **Our promise to you**: · Joining AdventHealth is about being part of something bigger. It's abo ...
-
Patient Care Manager
4 days ago
Mederi Caretenders Kissimmee, United States Full timeWe are hiring for a Patient Care Manager with Home Health experience. · Salary: $76,000 to $80,000 per year · At Mederi Caretenders Kissimmee, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for t ...
-
Care management
2 weeks ago
Nexus Dynamics Altamont, United StatesFor our ZUE for refugees at the Leverkusen location with up to 500 residents, we are currently seeking a care manager (m/f/d) as well as a deputy care manager (m/f/d) in full-time or part-time. The positions are initially limited until · We are a modern, social service associati ...
-
Management of the Child Day Care Service in
3 weeks ago
Sapphire Technologies Conway, FL, United States Freelance**DISTRICT OFFICE CHARLOTTENBURG-WILMERSDORF OF BERLIN** · Charlottenburg-Wilmersdorf is home to around 320,000 people from over 170 nations. We, at the district office, shape our district as an attractive living and working space. The district has been awarded the title of "Fair ...
-
Practice Manager Primary Care
2 days ago
AdventHealth Medical Group Primary Care Maitland, United States**All the benefits and perks you need for you and your family**: · - Benefits from Day One · - Paid Time Off from Day One · - Career Development · - Whole Person Wellbeing Resources · - Mental Health Resources and Support · **Our promise to you**: · Joining AdventHealth is about ...
-
Supervisor Care Management
1 day ago
AdventHealth Altamonte Springs Altamonte Springs, United States**All the benefits and perks you need for you and your family**: · - Benefits from Day One · - Paid Days Off from Day One · - Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) · **Our promise to you**: · Joining AdventHealth is about being par ...
-
Care Manager
2 weeks ago
Optum Orlando, United StatesSign on Bonus for External Candidates · $2,500 Sign On Bonus for LPNs/ $5,000 Sign On Bonus · For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join u ...
-
Care Management Technician
1 week ago
Orlando Health Ocoee, United StatesPosition Summary: · The **Orlando Health Advanced Rehabilitation Institute** is a world-class provider of specialty rehabilitation services for patients 12 and older. Our team includes physicians and therapists dedicated to helping you overcome complications related to stroke, br ...
-
care manager
2 weeks ago
Cohen Veterans Network Orlando, United StatesPosition Details - Aspire Health Partners careers · CARE MANAGER · Care Manager · Who are we? · Forover fifty years, Aspire Health Partners, has been one of the leadingnon-profit behavioral health companies in the Southeast. Serving nearly 40,000clients per year, with location ...
-
Care Manager
2 weeks ago
Bobit Business Media Orlando, United StatesJob Code: · Department: · FACT Team · FT/PT Status: · Full Time Regular · Job Location: · Crawfordville, Florida · Description: · Apalachee Center, Inc. is best known for helping individuals and families of North Florida succeed in recovering from emotional, psychiatric, and ...
-
Manager Care Management
1 day ago
Texas Health Huguley FWS Orlando, United StatesJob Description - Manager Care Management · Job Description · Manager Care Management · ( · Job Number: · ) · Description · All the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Debt-free Education (Certifications ...
-
Manager Care Management
1 day ago
AdventHealth Central Florida Orlando, United StatesAll the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) · Nursing Clinical Ladder Program · Our promise to you: · Joining AdventHea ...
-
AdventHealth Winter Park Winter Park, United States**All the benefits and perks you need for you and your family**: · - Benefits from Day One · - Paid Days Off from Day One · - Career Development · **Our promise to you**: · Joining AdventHealth is about being part of something bigger. It's about belonging to a community that beli ...
-
Manager Care Management
3 days ago
AdventHealth Orlando, United States**All the benefits and perks you need for you and your family:**+ Benefits from Day One+ Paid Days Off from Day One+ Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)+ Nursing Clinical Ladder Program**Our promise to you:**Joining AdventHealth ...
-
Manager Care Management
3 days ago
AdventHealth Central Florida Orlando, United StatesAll the benefits and perks you need for you and your family: Benefits from Day One Paid Days Off from Day One Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) Nursing Clinical Ladder Program Our promise to you: Joining AdventHealth is about b ...
-
Manager Care Management
4 days ago
AdventHealth Orlando, United States Paid WorkAll the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) · Nursing Clinical Ladder Program · Our promise to you: · Joining AdventH ...
-
Client Care Manager
1 week ago
The Pozek Group Winter Garden, United States**Are you energized by working with people? Do you have a strong sense of urgency? Do you have a passion for selling? Are you looking to get into the booming world of real estate? **The Pozek Group is looking for an enthusiastic self-starter to join their team as a **Client Care ...
-
Manager Integrated Care Management
4 days ago
Amerihealth Caritas Health Plan Orlando, United StatesYour career starts now. We are looking for the next generation of health care leaders. · At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associa ...
-
Manager Integrated Care Management
4 days ago
AmeriHealth Caritas Orlando, United States**Manager Integrated Care Management** · Location: Orlando, FL · Primary Job Function: Medical Management · ID**: 31533 · **Job Brief** · In anticipation of future business needs we are seeking an experienced Manager Integrated Care Management to support AmeriHealth Caritas Flori ...
Care Manager I - Orlando, United States - Centene Corporation
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.
Remote Opportunity
Centene is currently seeking a dedicated Care Manager I RN to join our dynamic Ambetter team. We are looking for an ideal candidate with a background in behavioral/psychology and possessing a multi-state RN license. If you are passionate about providing exceptional care and support to our members, we encourage you to apply for this rewarding opportunity
Considering candidates in a Eastern time zone only.
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
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. Knowledge of healthcare and managed care preferred.
Licenses/Certifications: Current state's RN license.
For Shared Services: Clinical licensure for multiple states is required
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.