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.
**Must reside within the state of Arizona.**
**This team supports members with Behavioral Health needs.**
**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 care/member 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 home-visits.
+ Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate
+ Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed
+ Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans
+ Develops in-depth 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 assessments/screening 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
**Education/Experience:** Requires a High School diploma or GED
Requires 2 - 4 years of related experience
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 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
Job Tags
Hourly pay, Holiday work, Remote job, Flexible hours,
Similar Jobs
VAIR CORPORATION
...Position Overview: ~ BOX TRUCK Delivery,~ Business to Business, $26.50 / hour. ~ Work schedule is Mon to Fri 8:15 AM to 6:15 PM, No... ...day, but pickup and delivery locations will repeat. All drivers will be in communication with their dispatcher - supervisor...
Ardent Health
...Overview Join our team as a day shift, full-time, Security Officer in Tyler, TX. Why Join Us? Thrive in a People-First Environment... ...Must obtain security officer license with the Texas Board of Private Investigators and Private Security Agencies within 90 days...
Family Resource Home Care
...are never alone we are a team!~ Hands-on Training . No experience? No problem. We train new caregivers to provide the level of care our clients expect.~ Client... ...preferences to match you with the perfect clients.~ Paid Travel Time. We pay you for your travel time...
Koa Restoration & Maintenance
We are currently seeking skilled Carpet Cleaning Technicians to join our teams across the state of Hawaii. The ideal candidate will have experience operating carpet extraction equipment and have a strong understanding of carpet cleaning techniques. Key Responsibilities...
Next Level Technician
...Next Level Technician is looking for Low Voltage Data Technicians in Columbus GA . Whether you are lower level, mid-range our high... ...voltage we have the right position for you. Low Voltage Cable Technician Responsibilities: Pull, terminate, dress and...