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: Leads the community and resource team on connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and works with the care team to identify member community support and provide health education as appropriate.
- Leads and guides community resources team to connect members to provide necessary care resources
- Provides ongoing support and experienced insight to members to connect them to known community and care resources in a cost-effective manner
- Supports the coordination of community outreach resources available to members and promotes awareness of care/services
- Serves as a subject matter expert to support members on community and care resource inquiries and opportunities available to members
- Works with community and resource coordination and care management team to identify process improvements on connecting members to community resources and provide recommendations
- Utilizes advanced knowledge of community resource connection activities and resource opportunities
- Reviews and refines member related correspondence and educational materials to assist in the facilitation of a successful community resource connection
- Works with care management team on escalating community resource requests and inquiries to management and identifying member community support
- Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements
- Provides experienced support to the clinical team of nurses and social workers with activities including, but not limited to outreach, community education, evidence-based guidance and member support
- Conduct non-clinical general health assessments in order to refer members to appropriate services, resolve concerns on member’s behalf, and gather information for medical providers and staff working within the organization
- Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate services, resolve concerns on member’s behalf, and gather information for medical providers in staff working within our organization
- Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach
- May make visits to individual homes and/or community organizations
- Working Knowledge of Social Determinants of Health (SDOH) barriers
- Performs other duties as assigned
- Complies with all policies and standards
This is a remote position for candidates located in OK. Ideal candidate will have experience in managed care, procurement, project management, administrative roles, or claims.
This position is only available to candidates located in Oklahoma.
Education/Experience: Requires a High School diploma or GED
Requires 4+ years of related experience
Pay Range: $22.07 - $37.25 per hour
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
