Care Manager RN - Foster Care

  • Superior HealthPlan
  • Ladonia, TX
  • time-alarm-solid 02-15-2024

Job Description

Superior HealthPlan is seeking a dedicated Care Manager RN to join our Medical Management/Health Services team. This role requires a highly skilled clinical professional with experience in case management, assessment, and coordination of medical and support services for select members. The ideal candidate will have a strong clinical nursing background, knowledge of utilization management principles, and expertise in government-sponsored managed care programs. As a Care Manager RN, you will play a crucial role in promoting quality, cost-effective care for our members.


  • Assess the member's current health status, resource utilization, treatment plan, and services to develop a comprehensive care plan.
  • Coordinate services between medical providers, specialists, and non-medical staff to meet clients' medical and socio-economic needs.
  • Provide patient and provider education, facilitate access to community-based services, and monitor referrals made to support member care management plans.
  • Participate in integrated team care management rounds, identify risk management concerns, and report related scenarios to appropriate resources.
  • Enter and maintain assessments, authorizations, and clinical information in various medical management systems.
  • Direct care to participating network providers, participate in case management committees, and work on special projects related to case management.


Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 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 required.


  • Competitive pay with a salary range of $66,100.00 to $118,900.00 per year.
  • Flexible work solutions, including remote options and hybrid work schedules.
  • Health insurance coverage for you and your dependents.
  • Paid time off, holidays, 401(k), stock purchase plans, and tuition reimbursement.

Superior HealthPlan offers a comprehensive benefits package, including competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, and paid time off.