You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

California residency preferred and RN Licensure required for this Health Net position.

Position Purpose: Supervises the care management team and the care management of members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management issues related to members or providers.

Monitors and reviews care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreementsAssigns caseloads and work assignments to care management team based on state requirements, care management staff experience, and member needsWorks with senior management on escalated and complex care cases, and provides guidance to junior team members to address member concernsEducates and provides resources for care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providersEvaluates care management team performance and provides feedback regarding performance, goals, and career milestonesMay perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resourcesProvides coaching and guidance to care management team to improve member and provider experience and high-quality careAssists with onboarding, hiring, and training care management team membersLeads and champions change within scope of responsibilityPerforms other duties as assignedComplies with all policies and standards

Education/Experience: Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4+ years of related experience.

License/Certification:

RN - Registered Nurse - CA State Licensure required

Pay Range: $83,600.00 - $155,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act