ColumbiaRecruiter
the smart solution for Columbia jobs

Field Base - Care Manager II (RN)

Company: Centene Corporation
Location: Columbia
Posted on: November 10, 2018

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 required 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. 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.SDL2017

Keywords: Centene Corporation, Columbia , Field Base - Care Manager II (RN), Executive , Columbia, South Carolina

Click here to apply!

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

I'm looking for
in category
within


Other Executive Jobs


Assistant Nurse Manager
Description: Location: Charlotte, North Carolina, 28201, United StatesJob ID: 44929587Posted: 11/12/2018Position Title: Assistant Nurse ManagerCompany Name: Novant Health, Inc.Sector: HospitalEntry Level: falseNovant (more...)
Company: Novant Health, Inc.
Location: Charlotte
Posted on: 11/18/2018

Project Manager - Healthcare/Medicaid - MMIS
Description: Project Manager - 848329201,Columbia,SC12 Months Contract onsite job Remote 25 General Duties: -Responsible for managing one or more highly complex or enterprise-wide IT program s consisting of multiple (more...)
Company: RedSalsa Technologies, Inc.
Location: Columbia
Posted on: 11/18/2018

Benefits & Corporate Compensation Manager
Description: The Compensation Benefits Manager will provide strategic support to the HR Business Partners and Business Leaders for multiple sites in the US as well as contribute to the design, development and implementation (more...)
Company: The Finders Group
Location: Charlotte
Posted on: 11/18/2018


College Graduates - Executive Team Leader (Assistant Manager) - Lehigh Valley, Pennsylvania
Description: One of the world's leading and most recognized brands comes to life in our stores, where guests are still captivated by everything that made them fall in love with Target. Our approximately 1800 locations (more...)
Company: Target
Location: Charlotte
Posted on: 11/18/2018

Corporate Director of Sales & Marketing
Description: 5 years of regional or Area hotel sales experience at a managerial level Ability to travel Experience in strategic planning and execution Knowledge of contracting, negotiating and change management Advance (more...)
Company: SREE Hotels
Location: Charlotte
Posted on: 11/19/2018

Audit Director - Financial Crimes Audit Team
Description: Job Description br At Wells Fargo, we want to satisfy our customers financial needs and help them succeed financially. We re looking for talented people who will put our customers at the center of everything (more...)
Company: Wells Fargo
Location: Charlotte
Posted on: 11/18/2018

Business Manager - Southeast
Description: Johnsonville, LLC, the nation's No. 1 producer of brats, Italian sausage, smoked-cooked links and fresh breakfast sausage links, is a leader in the food manufacturing industry. The company's more than (more...)
Company: Johnsonville Sausage
Location: Charlotte
Posted on: 11/19/2018

Unit Manager RN
Description: Unit Manager Description Summary In conjunction with the DON, plans, coordinates and manages the clinical services for a specified nursing unit. Responsible for the coordination and of nursing care and (more...)
Company: SAVA SENIOR CARE
Location: Charlotte
Posted on: 11/18/2018

STORE MANAGER in SPARTANBURG, SC
Description: Company Overview Dollar General NYSE: DG is a Fortune 200 company with more than 15,000 retail locations in 44 states, 15 distribution centers and 130,000 employees that embody our mission of Serving (more...)
Company: Dollar General
Location: Spartanburg
Posted on: 11/19/2018

Regional Director of Sales
Description: The Underwood Edge is partnering with a national health benefit company for Regional Directors throughout the United States. As the Regional Director you will direct and coordinate activities of your (more...)
Company: The Underwood Edge, LLC
Location: Charlotte
Posted on: 11/18/2018

Log In or Create An Account

Get the latest South Carolina jobs by following @recnetSC on Twitter!

Columbia RSS job feeds