Care Coordinator III

extra holidays - extra parental leave
Work set-up: 
Full Remote
Contract: 
Experience: 
Entry-level / graduate
Work from: 

Offer summary

Qualifications:

High School diploma or GED required., 2 to 4 years of related experience in care coordination or human services., For Illinois Youth Care plan: Bachelor's degree in nursing, social sciences, social work, or related field., One year of supervised clinical experience in a human-services field for Illinois applicants..

Key responsibilities:

  • Support care management activities and coordinate services for members.
  • Perform outreach to members via phone or home visits to discuss care plans and address concerns.
  • Coordinate care activities with healthcare providers, community partners, and members.
  • Document member interactions and assist with inquiries, referrals, and education on benefits and resources.

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Centene Corporation XLarge https://www.centene.com/
10001 Employees
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Job description

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.

Candidates must live in one of the following counties:
Clay, Crawford, Effingham, Fayette, Jasper, Jefferson, Lawrence, Marion, Perry, Richland, Alexander, Edwards, Franklin, Gallatin, Hamilton, Hardin, Jackson, Johnson, Massac, Pope, Pulaski, Saline, Union, Wabash, Wayne, White, and Williamson.

Position Purpose: Works with senior care management team to support care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of caremember satisfaction is achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through homevisits.

  • Provides outreach to members via phone or home visits to engage members and discuss care planservice plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout careservice, as appropriate
  • Coordinates care activities based on the care planservice plan and works with healthcare and community providers and partners, and memberscaregivers to accommodate changes or progress, as needed
  • Serves as support on various member andor provider inquiries, requests, or concerns related to care planservice plans
  • Develops indepth knowledge of care management services including responding to some complex or escalated issues
  • Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care
  • Performs service assessmentsscreening for members with some complex needs and documents the member’s care needs.
  • Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed
  • Works with care management team with triaging, adjusting, and escalating complex requests to management
  • Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
  • Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager
  • Provide education on benefits and resources available
  • May assist with training and development needs
  • Performs other duties as assigned
  • Complies with all policies and standards
    • EducationExperience:

      • Requires a High School diploma or GED
      • Requires 2 4 years of related experience

        • LicenseCertification:

          • For Illinois Youth Care plan only: Bachelor’s degree in nursing, social sciences, social work, or related field; One (1) year of supervised clinical experience in a humanservices field. Must reside in IL
            • Pay Range: $20.00 $34.03 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 individuals skills, experience, education, and other jobrelated factors permitted by law, including fulltime or parttime 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

Required profile

Experience

Level of experience: Entry-level / graduate
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Training And Development
  • Teamwork
  • Communication
  • Problem Solving

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