Care Coordinator II

Centene Corporation; United States; Remote; USD 2,458,000 - 3,860,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Flexible work arrangements

Job summary

Centene is seeking a field-based Care Coordination support role to assist members in Phillips, Monroe, and Lee Counties, AR. You will perform outreach by phone or home visits and document plans for care and services to ensure continuity and satisfaction.

Responsibilities include coordinating care activities with providers, responding to member questions, and maintaining records in compliance with state and regulatory requirements. Travel up to 30% is expected.

Qualifications

• High School diploma or GED required.
• 1–2 years of related experience in care coordination or related field.

Responsibilities

• Provides outreach to members via phone or home visits to engage members and discuss care plans and next steps.
• Coordinates care activities based on the care plan with healthcare providers and caregivers.
• Responds to member questions or concerns related to care plans and services.
• Communicates with care managers and practitioners to facilitate member services and continuity of care.
• May support performing service assessments or screenings and documenting member needs.
• Maintains member records per state and regulatory requirements and shares information with providers as needed.
• Follows contractual and regulatory guidelines and identifies needs for referrals to Care Manager or community resources.
• Provides education on benefits and available resources.
• Performs other duties as assigned.

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

This field-based role serves members throughout Phillips, Monroe, and Lee Counties, Arkansas. Candidates must reside within one of the assigned counties to effectively support the membership and meet travel requirements.

Responsibilities

• 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 Florida-Sunshine Health Plan - All interactions with members are done telephonically.
• 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

About Centene

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.

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.

Equal Opportunity Employer

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.