Care Coordinator II

Iowa Total Care; Council Bluffs (IA); Hybrid; USD 2,458,000 - 3,860,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible approach to work with remote,

hybrid, field or office work schedules

Job summary

Iowa Total Care in Iowa is hiring for a hybrid-remote Care Coordination role within PHCO - Non-Clinical Care Coordination. The position involves telephonic outreach and field visits to homes, shelters, hospitals, and facilities across multiple Iowa counties. Travel up to 50% and preference for candidates in specific counties.

Requires a High School diploma or GED and 1–2 years of related experience. Pay range listed and comprehensive benefits provided.

Qualifications

• Requires fluency in Spanish and English.
• 1–2 years of related experience.

Responsibilities

• Outreach to members via phone or home visits to discuss care plans and next steps.
• Coordinate care activities with providers and partners to meet member needs.
• Answer member and provider inquiries about care plans and services.
• Communicate with care managers and practitioners to ensure continuity of care.
• Assist with service assessments or screenings for members.
• Maintain member records per state and regulatory requirements.
• Follow policies and standards and identify referral opportunities.
• Educate members on available benefits and resources.
• Perform other duties as assigned.

Skills

Bilingual English/Spanish

Case management experience

Education

High School diploma or GED

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.

NOTE: This hybrid-remote role involves telephonic outreaches and field visits to homes, shelter, hospitals, and substance use facilities. The travel is up to 50% within the coverage area. Preference will be given to applicants who (1) reside in either Pottawattamie (ideally), Cass, Harrison, or Mills County. (2) Fluency in Spanish and English and experience in case management, managed care is a plus.

Additional Details

• Department: PHCO - Non-Clinical Care Coordination
• Territory: Mainly within these Iowa Counties - Monona, Harrison, Shelby, Audubon, Pottawattamie, Cass, Mills, Montgomery, Adams, Fremont, Page and Taylor.
• Business Unit: Iowa Total Care
• Schedule: Monday through Friday, 8-5 PM CT

Position Purpose

Supports 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. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.

• 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 plan
• Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service
• May support performing service assessments/screenings for members and documenting the member’s care needs
• Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed
• 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 based organizations, and Disease Manager
• Provide education on benefits and resources available
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience

Requires a High School diploma or GED.

Requires 1 – 2 years of related experience

Pay Range: $17.84 - $28.02 per hour

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• 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