Remote Director, Case Management (Pediatric)

Centene

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Business Area: Clinical & Care Management
Job Type: Full time
Date Posted: Apr 07 2024
Job Number: 1494545

Description

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 position will be supporting Sunshine State Health Plan’s Children’s Medical Services (CMS).

Position Purpose: Responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectives

  • Direct the overall operational leadership of case management functions and staff
  • Perform and oversee needs analysis and planning
  • Work with executive leadership to ensure targets are met for the annual operating plan/financial management
  • Ensure compliance with Corporate, State and NCQA standards
  • Develop and implement methods, policies and procedures to improve the departments efficiency and effectiveness

Education/Experience: Bachelor’s degree in Nursing or related field. At least 5 years of work experience in managed care and acute care settings with complex case management. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

License/Certification: RN license.

For Florida plan only: RN, LCSW, LCMHC or other Clinical Mental Health Professional license required.

Pay Range: $113,800.00 – $210,500.00 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.