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Care Manager RN

Centene · FL · Remote available · $56,200–$101,000 a year · Full time

Posted Oct 1, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

How do you find out what the member themselves sees as the priority, when it's different from what the chart says matters most?

What they are checking: Whether they practice person-centered care or just push their own clinical agenda onto the member.

Tell me about a time you managed a large caseload of complex patients. How did you decide who needed you first each week?

What they are checking: Whether they can triage risk across many members without letting the quiet, high-risk ones slip through.

What do you know about how managed care differs from bedside nursing, and what part of that shift do you expect to find hardest?

What they are checking: Self-awareness about moving from hands-on care to phone-based coordination and cost-conscious decision making.

Tell me about a time you taught a patient or family about a chronic condition and it actually changed what they did at home.

What they are checking: Whether their education is practical and checked for understanding, not just handed out as paperwork.

How do you keep your documentation complete and timely when you're juggling dozens of members and back-to-back calls?

What they are checking: Documentation habits matter for audits and continuity, and sloppy notes put members and the plan at risk.

What would you do

A member keeps missing calls and their last two specialist appointments. What do you do next?

What they are checking: Persistence and creativity in reaching hard-to-engage members before a gap in care becomes a hospital stay.

How do you work with a provider who disagrees with the services you think the member needs?

What they are checking: Whether they can advocate for the member while keeping a working relationship with the treating doctor.

You're on the phone and a member mentions chest pain that started an hour ago. How do you handle that call?

What they are checking: Clinical judgment and safety instincts when a routine outreach call turns into a possible emergency.

About the work

Walk me through how you'd build a care plan for a Medicaid member with uncontrolled diabetes, heart failure and no reliable ride to appointments.

What they are checking: Whether they can combine clinical priorities with social barriers into one plan the member can actually follow.

Which social determinants of health do you screen for, and what do you do once you find one, like food insecurity or unstable housing?

What they are checking: Whether screening leads to a real referral and follow-up rather than a checked box in the record.

How do you balance getting a member the best care with being cost-effective for the plan?

What they are checking: Whether they see cost-effective care as avoiding waste and readmissions rather than denying what members need.

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The full job description

As published by Centene.

Centene's Sunshine State Health Plan is looking for a Florida licensed RN to support our Medicaid/Medicare MMA membership. Applicants must reside in the state of Florida, and be able to work a Monday - Friday 8am - 5pm schedule eastern time zone. Ideal applicants will have clinical experience working with chronic conditions or diseases, case management, time management and communication skills; managed care experience very helpful. Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. • Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome • Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs • Identifies problems/barriers to care and provide appropriate care management interventions • Coordinates 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 • Provides ongoing follow up and monitoring of 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 • Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate • Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services • May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources • 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 • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner • 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 of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience. License/Certification: • RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: $56,200.00 - $101,000.00 per year At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. 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 , including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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

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