Care Coordinator II

Centene Management Company LLC; Iowa (LA); Hybrid; USD 25,000 - 39,000; Full time

Benefits offered by this job

Health insurance

401K plan

Tuition reimbursement

Paid time off

Job summary

Centene Management Company LLC is seeking a care coordination professional for a hybrid-remote role in Iowa. Responsibilities include outreach by phone or home visits to engage members, discuss care plans, and coordinate with providers and caregivers to ensure continuity of care and member satisfaction.

Fluency in Spanish and English is preferred, with travel up to 50% within the area. The position supports non-clinical care coordination in the PHCO department, requires a high school diploma,

Qualifications

• Requires High School diploma or GED.
• 1–2 years of related experience.
• Fluency in Spanish and English is preferred for this role.

Responsibilities

• Perform member outreach telephonically or through home visits to engage members and discuss care plans and next steps.
• Document the care plan/service plan and coordinate with providers, partners, and caregivers.
• Support care management activities and ensure continuity of care and member satisfaction.
• Provide education on benefits and resources available and assist with referrals as needed.

Skills

Spanish language

Fluent English

Case management

Managed care

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 and 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.