Case Manager

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. Position Purpose: Provide ongoing support and expertise through comprehensive assessment, planning and implementation of case management services for providers and their patients with chronic disease. Perform activities related to the case management of providers’ plan of care for patients with chronic illness Coordinate patients’ treatment process from initiation of therapy to the conclusion or discontinuation of therapy, including completion of physical and mental assessment, and lab result analysis, evaluation of side effects of treatment and ascertain adherence to treatment including dosing regimen, provider follow-up to achieve optimal outcomes Complete care management clinical escalations Collaborate with patients’ providers throughout the course of treatment Provide prompt execution of provider referrals Assist with providing training on disease state, medications and lifestyle changes as necessary Collaborate with various departments to answer patient questions and concerns Document all patient and provider information and conversations Education/Experience: 4 years of clinical nursing, case management or health plan/managed care experience. Experience in managing patients with chronic disease states like Hepatitis C, Multiple Sclerosis or Oncology preferred. Licenses/Certifications: Current state’s RN license For SilverSummit only: SilverSummit values diversity in its workplace and provides health plan benefits to culturally diverse individuals. As such, SilverSummit employees are expected to understand, communicate with, and effectively interact with people across cultures. Experience working with low income and/or multi-cultural and multilingual populations is preferred. Pay Range: $66,100.00 - $118,900.00 per year Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development. 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. Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.