Care Coordinator II

Centene Corporation; Texas; Hybrid; Full time

Job summary

A national organization, Centene Corporation, is seeking a dedicated outreach support professional to facilitate member care management. This role involves engaging with members via phone and home visits to discuss their care plans, coordinate with healthcare providers, and ensure compliance with regulatory standards. Candidates should have at least a high school diploma and some experience in similar outreach roles. Comprehensive benefits and a flexible work environment are offered to employees.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 1-2 years of related experience required.
• Ability to identify needs and make referrals.
• Educate members on benefits and resources available.

Responsibilities

• Engage members through phone or home visits to discuss care plans.
• Coordinate care activities with healthcare and community providers.
• Document and maintain member records per regulatory standards.

Skills

Communication

Outreach

Coordination

Problem-solving

Education provision

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.

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: $17.50 - $27.50 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