Case Manager II - RN

Please apply online at www.centene.com/careers/opportunities.asp!  No other means of submission will be considered.  Thank you!

 

Position Purpose:

Perform collaborative duties to assess, plan and coordinate continuum of care for select members at high risk in order to promote quality, cost effective programs.

 

Knowledge/Experience:

Bachelor?s degree preferred.  At least two years clinical nursing experience.  At least two years experience managed care environment.

 

Competencies:

Knowledge Worker: Integrity, Flexibility, Communication, Critical Thinking, Customer Focus, Decision Making, Planning and Organizing, Building Strategic Working Relationships, Technical and Professional Knowledge

 

Position Responsibilities:

 Advanced review of admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care.Develop, assess and adjust as necessary the care plan and promote desired outcome.Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical providers as necessary to meet the complete medical socio economic needs of clients.Provide patient and provider education.Identify related risk management quality concerns and report these scenarios to the appropriate resources.Data enters assessments and authorizations into the system.

 

Licenses/Certifications: 

RN required. Current state nursing and driver?s license. CCM (Certified Case Manager)

or other clinical certification preferred.