Care Coordinator II

Centene; Ridgeland (MS); On-site; USD 23,000 - 39,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work schedules: remote,hybrid

Job summary

Centene in Ridgeland, Mississippi is seeking a Care Management Support specialist to assist care management teams, engage members by phone or home visits, and document care plans to ensure continuity and satisfaction.

The role focuses on coordinating care activities with providers, answering member questions, supporting assessments, maintaining records in compliance with regulations, and referring needs to the appropriate care managers.

Qualifications

• Requires a High School diploma or GED.
• Requires 1-2 years of related experience.

Responsibilities

• Outreach to members via phone or home visits to discuss care plans and education.
• Coordinate care activities with providers, partners, and members.
• Answer inquiries related to care plans and services.
• Communicate with care managers and practitioners to facilitate services.
• Support service assessments or screenings and document care needs.
• Maintain member records in compliance with state and regulatory requirements.
• Follow policies and regulatory standards.
• Identify needs and refer to Care Manager or community resources.
• Educate members on benefits and resources.
• Perform other duties as assigned.

Skills

Customer service

Healthcare experience

Communication

Education

High School diploma or GED

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 Ridgeland, Mississippi, as this position is 100% on-site at our Ridgeland office. Previous experience in customer service, mail-order operations, or healthcare is preferred.

• 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

Location

Ridgeland, Mississippi

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
• 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