Care Manager

Title: RN Care Manager (Critical Care Team)

Location: Milwaukee, Wisconsin (Greater Milwaukee Area required)
Remote Type: Remote-WI (Up to 50% field visits; remainder remote from home)
Full-time

Job Description

You could be the one who changes everything for Centene’s 28 million members. As a national, diversified healthcare organization, Centene provides competitive benefits and a flexible approach to work.

$3,000 sign-on bonus included.
Must reside in the greater Milwaukee area.
Schedule: Monday–Friday, 8am–5pm.

Position Purpose

Develop, assess, and facilitate complex care management activities for members—primarily those with physical needs—ensuring high-quality, cost-effective healthcare outcomes through personalized care plans and member/family education.

Responsibilities

• Evaluate member needs, barriers, and social determinants of health; recommend/facilitate plans based on member priorities.

• Create and update ongoing care/service plans; collaborate with providers, specialists, and community resources.

• Identify problems/barriers and implement appropriate interventions.

• Coordinate communication between members, families/caregivers, and the provider team to ensure adequate person-centered care.

• Provide ongoing follow-up, monitoring changes in condition, and revising care plans as needed.

• Offer resource support for services such as housing, employment, independent living, justice/foster care (as appropriate).

• Facilitate care management and ensure timely access to required care or services.

• Conduct telephonic, digital, home, or other field visits to assess needs and coordinate resources.

• Collect, document, and maintain all care management activities to ensure compliance with regulatory requirements.

• Provide education to members and caregivers on disease processes, care gaps, referrals, provider instructions, and benefit information.

• Offer feedback to leadership on improving care quality and cost-effectiveness.

• Perform other duties as assigned.

• Comply with all policies and standards.

Education & Experience

• Degree from an accredited School of Nursing OR
  Bachelor’s degree in Nursing

• 2–4 years of related experience required

License/Certification

• RN – Registered Nurse (State Licensure and/or Compact License required)

Compensation

Pay Range: $55,100 – $99,000 per year
Actual pay may vary based on experience, education, skills, job-related factors, and employment status.
Total compensation may include additional incentives.

Benefits

Centene offers a comprehensive package, including:

• Competitive pay

• Health insurance

• 401(k) & stock purchase plans

• Tuition reimbursement

• Paid time off & holidays

• Flexible schedules (remote, hybrid, field, or office)

Additional Information

Centene is an equal opportunity employer. All qualified applicants will be considered without regard to protected characteristics. Applicants with arrest or conviction records will be considered per the LA County Ordinance and the CA Fair Chance Act.

For accommodations: recruiting@centene.com.