AustinRecruiter Since 2001
the smart solution for Austin jobs

Care Manager II (RN)

Company: Centene Corporation
Location: Driftwood
Posted on: March 28, 2020

Job Description:

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. 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 Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes 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 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. Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems Direct care to participating network providers Perform duties independently, demonstrating advanced understanding of complex care management principles. Participate in case management committees and work on special projects related to case management as needed For New Hampshire, Massachusetts, & Michigan Complete Health - home visits requiredEducation/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. Texas Requirements:Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing or case management experience in a clinical, acute care, managed care or community setting. 2+ years experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs. Other state specific requirements may apply.Licenses/Certifications: Current state's RN license. 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, Austin , Care Manager II (RN), Executive , Driftwood, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Engagement Manager
Description: Description A Successful Engagement Manager... Should be able to think independently, take initiative in identifying potential problems and take the necessary steps to resolve them in a fast-paced environment. (more...)
Company: Robert Half
Location: Austin
Posted on: 04/9/2020

SAP Technical Senior Manager: Solution Architecture, S/
Description: SAP Enterprise TechnicalSolution Architect - Senior Manager Technology At Deloitte you'll have the opportunity to help clients get the most from their SAP investments-and help position businesses for (more...)
Company: Deloitte
Location: Austin
Posted on: 04/9/2020

Director of Product Management- Acquisition
Description: RESPONSIBILITIES Kforce has a client in search of a Director of Product Management -Acquisition in Austin, TX. Summary The candidate is responsible for partnering with product leaders, business leaders, (more...)
Company: Kforce Technology Staffing
Location: Austin
Posted on: 04/9/2020


Delivery Driver Manager for Food For Good Program
Description: Job Description Auto req ID: 204903BR Job Description Hunger is often not a problem of food scarcity, but rather one of logistics. To address this challenge, Food for Good FFG works with non-profit (more...)
Company: Pepsico, Inc.
Location: Austin
Posted on: 04/9/2020

Operations Manager
Description: Job DescriptionThe Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and (more...)
Company: CVS Health
Location: Austin
Posted on: 04/9/2020

Director, Mobile Development (REF22124Q) - Visa Digital Developer Platform (VDDP)
Description: Company Description br br As the world's leader in digital payments technology, Visa's mission is to connect the world through the most creative, reliable and secure payment network - enabling individuals, (more...)
Company: Visa
Location: Austin
Posted on: 04/9/2020

Assistant General Manager-NE-203210
Description: Position Purpose and Summary: The Assistant General Manager 'AGM' assists the General Manager 'GM' or Multi-Unit General Manager 'MUGM' in managing hotel day-to-day operations, assures optimum (more...)
Company: Extended Stay
Location: Austin
Posted on: 04/9/2020

SAP ABAP S/4 HANA - Senior Manager
Description: SAP S4 ABAP - Senior Manager At Deloitte you'll have the opportunity to help clients get the most from their SAP investments-and help position businesses for the evolving digital economy. Ready to reimagine (more...)
Company: Deloitte
Location: Austin
Posted on: 04/9/2020

Regional Director of Instructional Coaching - Austin (20-21)
Description: Position at IDEA Public SchoolsAbout IDEA Public Schools -- At IDEA Public Schools, we believe in college for ALL and we are committed to ensuring that all our students graduate from college. IDEA Public (more...)
Company: IDEA Public Schools
Location: Austin
Posted on: 04/9/2020

Senior Software Engineer - Identity and Access Management
Description: Company Description br br As the world's leader in digital payments technology, Visa's mission is to connect the world through the most creative, reliable and secure payment network - enabling individuals, (more...)
Company: Visa
Location: Austin
Posted on: 04/9/2020

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Austin RSS job feeds