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Pediatric Care Manager (RN)

Sunshine State Health Plan

West Palm Beach, FL
4 days ago
$55,100.00 - $99,000.00

Job Description

Join Centene as a Pediatric Care Manager (RN) and play a vital role in transforming healthcare for our 28 million members. You'll develop personalized care plans, assess needs, and collaborate with providers to ensure high-quality, cost-effective care for children and families.

Key Responsibilities

  • Develop and facilitate complex care management activities for members with physical needs
  • Evaluate member needs and barriers to care
  • Develop ongoing care/service plans and collaborate with providers
  • Identify and address problems/barriers to care
  • Coordinate between members, families, and care providers
  • Monitor member status and revise care plans as needed
  • Provide resource support for local services
  • Perform outreach to assess member needs
  • Document all member information and compliance
  • Educate members and families about healthcare options

Required Qualifications

  • Degree from an Accredited School of Nursing
  • Bachelor's degree in Nursing
  • 2 – 4 years of related experience
  • RN - Registered Nurse - State Licensure
  • Minimum of two years of pediatric experience

Preferred Qualifications

  • Bilingual in Spanish
  • Experience with Florida's Children’s Medical Services (CMS)

Benefits & Perks

Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules (remote, hybrid, field or office)