|Category||Clinical & Nursing||Job type||Full-Time|
|Country||United States of America|
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 and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.
Licenses/Certifications: Current state's RN license is required and driver's license is required.
SUPERIOR HEALTH PLAN: STAR Plus Case Management Division
NOTE: This is a clinical RN Case Manager role with our Complex Care Case Management division. This position works remote from home AND travels throughout Hidalgo and the surrounding counties to conduct member assessments. Applicants with bilingual skills in English and fluent speaking skills in Spanish is strongly preferred.
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.