Senior Care Manager (RN) [7/7/2025]
Company: Fidelis Care
Location: New York City
Posted on: July 7, 2025
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Job Description:
You could be the one who changes everything for our 28 million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, national organization, you’ll
have access to competitive benefits including a fresh perspective
on workplace flexibility. Position Purpose: Assesses, plans, and
implements complex care management activities based on member
activities to enable quality, cost-effective healthcare outcomes.
Develops a personalized care plan / service plan for care members,
addresses issues, and educates members and their families/care
givers on services and benefit options available to receive
appropriate high-quality care. - Develops and continuously assesses
ongoing care plans / service plans and collaborates with providers
to identify providers, specialist, and/or community resources
needed to address member's unmet needs - Coordinates and manages as
appropriate between the member and/or family/caregivers and the
care provider team to ensure members are receiving adequate and
appropriate person-centered care or services - Monitors care plans
/ service plans and/or member status, change in condition, and
progress towards care plan / service plan goals; collaborate with
member, caregivers, and appropriate providers to revise or update
care plan / service plan as necessary to meet the member's goals /
unmet needs - May identify problems/barriers for care management
and appropriate care management interventions for escalated cases -
Reviews member data to identify trends and improve operating
performance and quality care in accordance with state and federal
regulations - Reviews referrals information and intake assessments
to develop appropriate care plans/service plans - May perform
telephonic, digital, home and/or other site outreach to assess
member needs and collaborate with resources - Collaborates with
healthcare providers as appropriate to facilitate member services
and/or treatments and determine a revised care plan for member if
needed - Collects, documents, and maintains all member information
and care management activities to ensure compliance with current
state, federal, and third-party payer regulators - Provides and/or
facilitates education to members and their families/caregivers on
disease processes, resolving care gaps, healthcare provider
instructions, care options, referrals, and healthcare benefits -
Partners with leadership team to improve and enhance care and
quality delivery for members in a cost-effective manner - May
precept clinical new hires by fostering and building core skills,
coaching and facilitating their growth, and guiding through the
onboarding process to upskill readiness - Provides guidance and
support to clinical new hires/preceptees in navigating within a
Managed Care Organization (MCO) and provides coaching and shadowing
opportunities to bridge gap between classroom training and field
practice - Engages and assists New Hire/Preceptee during onboarding
journey including responsibility for completing competency check
points ensuring readiness for Service Coordination success -
Engages in a collaborative and ongoing process with People Leaders
and cross functional teams to measure and monitor readiness - Other
duties or responsibilities as assigned by people leader to meet
business needs - Performs other duties as assigned - Complies with
all policies and standards Education/Experience: Requires a Degree
from an Accredited School or Nursing or a Bachelor's degree in
Nursing and 4 – 6 years of related experience. NYS RN license
required Pediatric population experience preferred
License/Certification: - RN - Registered Nurse - State Licensure
and/or Compact State Licensure required Pay Range: $73,800.00 -
$132,700.00 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. Qualified applicants with arrest or
conviction records will be considered in accordance with the LA
County Ordinance and the California Fair Chance Act
Keywords: Fidelis Care, Scranton , Senior Care Manager (RN) [7/7/2025], Healthcare , New York City, Pennsylvania