What are the responsibilities and job description for the Care Manager position at Fidelis Care - New Jersey?
Transforming Health for Our Communities
Centene is a national organization dedicated to improving the health of our communities, one person at a time. As a diversified organization, you'll have access to competitive benefits, including a fresh perspective on workplace flexibility.
- Must reside in Hudson and/or Bergen County, NJ
Job Responsibilities:
We're seeking a skilled individual who can identify problems and barriers to care and provide appropriate care management interventions.
- Coordinates between the member and/or family/caregivers and the care provider team to ensure members receive adequate and appropriate person-centered care or services
- Provides ongoing follow-up and monitoring of member status, change in condition, and progress towards care plan/service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan/service plan as necessary to meet the member's goals/unmet needs
- Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate
- Facilitates care management and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
- May perform telephonic, digital, home, and/or other site outreach to assess member needs and collaborate with resources
- Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
- Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
- Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
- Other duties or responsibilities as assigned by people leader to meet business needs
Education/Experience:
Requires a degree from an accredited school of nursing or a bachelor's degree in nursing and 2-4 years of related experience.
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Compensation:
Pay range: $54,000.00 - $97,100.00 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.
Equal Employment Opportunity:
Centene is an equal opportunity employer 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.
Salary : $54,000 - $97,100
