Care Coordinator II

Centene Corporation; Fort Smith (AR); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Centene Corporation in Fort Smith, AR is seeking a Care Coordinator to support care management activities and ensure continuity of services for members. Responsibilities include member outreach, care plan coordination with providers, and documentation in compliance with regulations.

The role requires a HS diploma or GED with 1–2 years of related experience; a Bachelor’s degree in a health-related field is preferred. Travel within the service area is expected.

Qualifications

• Requires a High School diploma or GED.
• 1-2 years of related experience
• Bachelor's degree in social science/health-related field preferred or equivalent experience in care coordination for developmentally or intellectually disabled clients or behavioral health clients.

Responsibilities

• Outreach to members via phone or home visits to review care plans and discuss next steps.
• Coordinate care activities with providers, partners, and family/c caregiver to adjust plans as needed.
• Serve as point of contact for member and provider inquiries related to care plans.
• Communicate with care managers and practitioners to ensure continuity of care and services.
• Assist with service assessments or screenings and document member needs.
• Document and maintain member records per state regulations and distribute to providers as needed.
• Follow standards of practice and regulatory guidelines; adhere to policies.
• Identify needs and make referrals to Care Manager or community resources.

Skills

Care coordination

Member education

Communication

Home visits

Travel readiness

Education

High School diploma or GED

Bachelor's degree in social science/health-related field

Job description

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.

Key Details: Candidates must reside in or near Sebastian or Crawford County, Arkansas, and be able to travel throughout the assigned service area to conduct member visits and coordinate care.

• 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
License/Certification:

• For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required

Pay Range: $17.84 - $28.02 per hour

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

• 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.

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