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Pediatric RN Case Manager

Company: Centene Corporation
Location: Fort Myers
Posted on: September 21, 2022

Job Description:

You could be the one who changes everything for our 26 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.Pediatric case management for members ages (0-21 years). RN needed for role. Work-from-home role with home visits in Collier and Central / Southern Lee County (Cape Coral, Naples, Estero, Bonita Springs and Fort Myers, FL). Must reside in the above mentioned area of Florida. Caseload based on location.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 careDevelop, assess and adjust, as necessary, the care plan and promote desired outcomeAssess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider optionsCoordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clientsDevelop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needsProvide patient and provider educationFacilitate member access to community based servicesMonitor referrals made to community based organizations, medical care and other services to support the members' overall care management planActively participate in integrated team care management roundsIdentify related risk management quality concerns and report these scenarios to the appropriate resourcesEnter and maintain assessments, authorizations, and pertinent clinical information into various medical management systemsEducation/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 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.Additional Details:*Department: Children's Medical Services*Caseload: Pediatric (Age 0-21-year old). Caseload based on residence.*Territory: Lee or Collier County (Fort Myers, Estero, Bonita Springs, Cape Coral, Naples, FL area). Work-from-home case management role with local in-home visits. Must reside in or be willing to relocate to the above mentioned area of Florida. 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, Fort Myers , Pediatric RN Case Manager, Executive , Fort Myers, Florida

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