Jobs search

JOB DETAILS

Pediatric Care Manager, RN

Centene • Full-time • Orlando, Florida, United States • $54,000 - $97,100 / year • 3w ago

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

This is a remote/work-from-home opportunity with local travel required for member visits. Candidates should reside in Orange or Seminole Counties in Florida to be considered for this role.

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
For LTSS - 30% travel to perform home visits to members
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. Knowledge of healthcare and managed care preferred.

Licenses/Certifications: Current state’s RN license.

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

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. 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.

Related Jobs

Registered Nurse RN Pediatric Med Surg Epilepsy Unit

AdventHealth • Full-time • Orlando, FL, US • 21h ago

RN Pediatric Med-Surg

All the benefits and perks you need for you and your family: Benefits and Paid Days Off from Day One Paid Parental Leave Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) Stud... more

21h ago

VIEW JOB

Senior Nurse Manager RN Pediatric Outpatient Procedures and Sedation Unit

AdventHealth • Full-time • Orlando, FL, US • 21h ago

RN Pediatric OR Outpatient

21h ago

VIEW JOB

Experience Registered Nurse, Acute Pediatrics at Arnold Palmer Hospital for Children

Orlando Health • Full-time • Orlando, Florida, United States • 4d ago

RN Pediatric

Position Summary Job Title: Experienced Registered Nurse, Acute Care Dept: APH Acute Pediatrics Status: Variable Full Time Shift: Night ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN Located on the... more

4d ago

VIEW JOB

Experienced Registered Nurse, Peds Tower 3 (Ortho/Neuro) at Arnold Palmer Hospital for Children

Orlando Health • Full-time • Orlando, Florida, United States • 4d ago

RN Pediatric

Position Summary Job Title: Experience Registered Nurse, APH Peds Ortho/Neuro Dept: Peds Tower 3 (Ortho/Neuro) Status: Variable Full Time Shift: Night ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN... more

4d ago

VIEW JOB

Experienced Registered Nurse, Peds Oncology at Arnold Palmer Hospital for Children

Orlando Health • Full-time • Orlando, Florida, United States • 1w ago

RN Pediatric Oncology

Position Summary Job Title: Experienced Registered Nurse Dept: APH Peds Oncology Status: Variable Full Time Shift: Day Peds and or Oncology experience preferred ORLANDO HEALTH ARNOLD PALMER HOSPITAL FO... more

1w ago

VIEW JOB

Registered Nurse, Pediatric Mobile Intensive Care Unit

Orlando Health • Orlando, Florida, United States • 2m ago

RN Pediatric ICU

Position Summary Orlando Health Arnold Palmer Hospital for Children Providing compassionate care to the children, teenagers and young adults of Central Florida for more than 30 years, Orlando Health Arnold Palme... more

2m ago

VIEW JOB

Registered Nurse, Pediatric Transfer Center

Orlando Health • Orlando, Florida, United States • 2m ago

RN Pediatric

2m ago

VIEW JOB

Registered Nurse (RN), Renal Dialysis

Bayfront Health • Orlando, FL, US • 8m ago

RN Pediatric

Position Summary Orlando Health Arnold Palmer Hospital for Children Located on the downtown Orlando Health campus, Orlando Health Arnold Palmer Hospital for Children has been providing compassionate care to the... more

8m ago

VIEW JOB

Assistant Nurse Manager RN Clinical Experience

AdventHealth • Full-time • Orlando, FL, US • 21h ago

All the benefits and perks you need for you and your family: Benefits and Paid Days Off from Day One Student Loan Repayment Program Career Development Pet Insurance Our Promise To You Joining AdventHealth i... more

21h ago

VIEW JOB

Registered Nurse RN Care Manager

AdventHealth • Full-time • Orlando, FL, US • 21h ago

All the benefits and perks you need for you and your family: Benefits and Paid Days Off from Day One Shift: Days M-F with 4 weekend shifts in a 6 week period Location: 601 E Rollins St, Orlando, FL 32803 The... more

21h ago

VIEW JOB