
Care Manager
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. 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.
2+ years of clinical nursing experience in a clinical, acute care, or community setting
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.
Current state’s RN license.
Time Management
Case management
Interqual
Managed care program skills
Verbal communication
written communication
Adaptability
Problem Solving Skills
Multi-tasker
According to JobzMall, the average salary range for a Care Manager in 7700 Forsyth Blvd, St. Louis, MO 63105, USA is $40,000 - $65,000 per year. This salary range may vary depending on the employer, experience, and other factors.
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Centene Corporation is a large publicly traded company and a multi-line managed care enterprise that serves as a major intermediary for both government-sponsored and privately insured health care programs.

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