Care Coordinator III

Centene Management Company LLC; Bedford (NH); Hybrid; USD 28,000 - 48,000; Full time

Benefits offered by this job

Health insurance

Tuition reimbursement

Paid time off + holidays

401K and stock purchase plans

Remote/hybrid/office work schedules

Job summary

Centene Management Company LLC in Bedford, NH is seeking an administrative support professional to assist the Foster Care/DCYF care management team. You'll help care managers and care navigators with emailing, monitoring care plans, and outreach to members by phone or home visits, ensuring timely information and continuity of care.

You will coordinate activities based on care plans, document member records in line with state and regulatory requirements, and escalate complex requests as needed.

Qualifications

• Requires a High School diploma or GED.
• Requires 2 - 4 years of related experience.
• Pay Range: $20.39 - $34.71 per hour.

Responsibilities

• Works with senior care management team to support care management activities and ensure services are delivered with continuity of care and member satisfaction.
• Liaises with care managers and providers to coordinate care for members.
• Performs member outreach telephonically or through home visits to discuss care plans and next steps.
• Maintains monitoring care plans and supports assessments as needed.
• Documents and maintains member records per regulatory requirements.

Skills

Care coordination

Member outreach

Documentation

Education

High School diploma or GED

Job description

Position Purpose: Works with senior care management team to support 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. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits.

Key Details: This role will provide administrative support for the Foster Care/DCYF team, including assisting Care Managers and Care Navigators with tasks such as emailing and updating monitoring care plans. The person will also maintain assigned monitoring care plans and complete member outreach to support comprehensive assessments as needed. 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 plans Develops in-depth knowledge of care management services including responding to some complex or escalated issues Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care Performs service assessments/screening for members with some complex needs and documents the member’s care needs. Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed Works with care management team with triaging, adjusting, and escalating complex requests to management 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 cased organizations, and Disease Manager Provide education on benefits and resources available May assist with training and development needs Performs other duties as assigned. Complies with all policies and standards.

Education/Experience: Requires a High School diploma or GED. Requires 2 - 4 years of related experience Pay Range: $20.39 - $34.71 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
• 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.

Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.