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RN Pediatric Care Manager

Company: Centene Corporation
Location: Saint Cloud
Posted on: June 25, 2022

Job Description:

Seeking an RN with 2+ years experience in Pediatrics. Remote/Field based position in Osceola County.

You could be the one who changes everything for our 26 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.

**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

+ Develop, assess and adjust, as necessary, the care plan and promote desired outcome

+ 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

+ 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

+ Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs

+ 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

+ Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems


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. Knowledge of healthcare and managed care preferred.

Licenses/Certifications: Current state's RN license.

For Sunshine Health Children's Medical Services (CMS) must have a minimum of two years of pediatric experience. May require up to 80% local travel.

_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._

**TITLE:** RN Pediatric Care Manager

**LOCATION:** St. Cloud, Florida

**REQNUMBER:** 1331192

Keywords: Centene Corporation, Melbourne , RN Pediatric Care Manager, Healthcare , Saint Cloud, Florida

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