LittleRockRecruiter Since 2001
the smart solution for Little Rock jobs

Care Manager II (RN)

Company: Centene
Location: Little Rock
Posted on: February 15, 2020

Job Description:

Care Manager II (RN) 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. Clinical & Nursing USA-Arkansas-Little Rock Arkansas Medicare Full-time

Keywords: Centene, Little Rock , Care Manager II (RN), Healthcare , Little Rock, Arkansas

Click here to apply!

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

I'm looking for
in category
within


Other Healthcare Jobs


Labor & Delivery - L&D RN - Travel (Conway)
Description: Registered Nurse.
Company: HealthCare Traveler Jobs
Location: Conway
Posted on: 02/27/2020

Travel Nurse RN - CVICU - $2,102 per week
Description: TotalMed Staffing is seeking a travel nurse RN CVICU for a travel nursing job in Little Rock, Arkansas:- Specialty: CVICU- Discipline: RN- Start Date: 04/13/2020- Duration: 13 weeks- 36 hours per week- (more...)
Company: NurseFly Travel Nursing
Location: Little Rock
Posted on: 02/26/2020

Intensive Care Unit - ICU RN - Travel (Little Rock)
Description: Registered Nurse. Travel
Company: HealthCare Traveler Jobs
Location: Little Rock
Posted on: 02/26/2020


RN - Oncology
Description: Position Type: Regular br br Scheduled Hours per 2 week Pay Period: 72 br br Primary Location: AR LITTLE ROCK ST VINCENT INFIRMARY br br Your time at work should be fulfilling. Rewarding. (more...)
Company: CHI St. Vincent
Location: Little Rock
Posted on: 02/27/2020

Travel Nurse (RN) - Med Surg (Medical Surgical Registered Nurse)
Description: MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Med-Surg registered nurse RN for a travel assignment with one of our top healthcare clients. Requirements: (more...)
Company: MedPro Healthcare Staffing
Location: Little Rock
Posted on: 02/27/2020

Travel RN-Telemetry Nurse - Telemetry Travel Nurse is needed in Little, Rock, AR, Skill Required
Description: We are seeking an experienced and self-motivated Telemetry RN to join our growing team of nursing professionals Foundation
Company: Foundation Medical Staffing
Location: Little Rock
Posted on: 02/27/2020

Interventional Radiology Technologist
Description: li General Information br br ul br br li br Job Title:Interventional Radiology Technologist br li br Location: ul li 8901 CARTI WAY li LITTLE ROCK, AR, 72205 li United States (more...)
Company: Fred Beans
Location: Little Rock
Posted on: 02/26/2020

Travel Nurse RN - Pediatrics - $1,868 per week
Description: Accountable Healthcare Staffing is seeking a travel nurse RN Pediatrics for a travel nursing job in Little Rock, Arkansas:- Specialty: Pediatrics- Discipline: RN- Start Date: 02/23/2020- Duration: 13 (more...)
Company: NurseFly Travel Nursing
Location: Little Rock
Posted on: 02/26/2020

Doctor of Veterinary Medicine - sign-on and/or relocation available!
Description: Description: Doctor of Veterinary Medicine Banfield aspires to be a practice where as a team, we make a positive impact on pet health care in hospitals, communities, and the field of veterinary medicine. (more...)
Company: Banfield Pet Hospital
Location: Little Rock
Posted on: 02/27/2020

Labor & Delivery - L&D RN - Travel (Little Rock)
Description: Registered Nurse.
Company: HealthCare Traveler Jobs
Location: Little Rock
Posted on: 02/26/2020

Log In or Create An Account

Get the latest Arkansas jobs by following @recnetAR on Twitter!

Little Rock RSS job feeds