Registered Nurse - Fort Lauderdale - Sunshine State Health Plan

    Sunshine State Health Plan
    Sunshine State Health Plan Fort Lauderdale

    23 hours ago

    Default job background
    Description

    Transforming Healthcare for 28 Million Members

    Centene is a diversified, national organization that offers a fresh perspective on workplace flexibility.

    This is a hybrid position requiring an RN in Broward County, with 50% field visiting members and 50% work from home doing documentation and outreach.

    Position Purpose:

    The ideal candidate will develop, assess, and facilitate complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes.

    • Evaluates the member's needs, barriers to accessing care, social determinants of health needs, and recommends a plan for the best outcome.
    • Develops ongoing care plans and collaborates with providers to address member's unmet needs.
    • Identifies problems/barriers to care and provides appropriate care management interventions.
    • Coordinates between the member, caregivers, and the care provider team to ensure adequate and appropriate person-centered care or services.
    • Provides ongoing follow-up and monitoring of member status and progress towards care plan goals.
    • Provides resource support to members and care managers for local resources based on service assessment and plans.
    • Facilitates care management and collaborates with providers to ensure timely access to needed care or services.
    • Performs 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.
    • Provides education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, and healthcare benefits.
    • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner.

    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

    Benefits:

    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.

    Equal Opportunity Employer:

    Centene is an equal opportunity employer 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.



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