Care Coordinator III

Centene Management Company LLC; Illinois; Hybrid; USD 42,000 - 72,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work options: remote, hybrid,

Job summary

Centene Management Company LLC in Illinois is seeking a care management professional to support the IL Health Plan Medicaid YouthCare program. The role is fully remote with 10% travel to a local office for quarterly team meetings, and you must reside in Illinois in the specified counties.

You will collaborate with senior care managers and providers to coordinate services, conduct member outreach, and educate members on care plans, resources, and next steps, ensuring continuity of care and

Qualifications

• Requires a High School diploma or GED.
• Requires 2 - 4 years of related experience.
• For Illinois Youth Care plan only: Bachelor’s degree in nursing, social sciences, social work, or related field; One (1) year of supervised clinical experience in a human-services field.

Responsibilities

• 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.
• 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.

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.

This role will support our IL Health Plan Medicaid YouthCare program members.

This position is fully remote/work from home with 10% travel to local office for quarterly team meetings. Applicants must reside in one of the following Illinois counties: Mason, Cass, Greene, Jersey, Macoupin, McLean, Montgomery, Morgan, Piatt, Pike, Schuyler, Shelby, Vermilion, Adams, Brown, Calhoun, Champaign, Christian, Clark, Coles, Cumberland, De Witt, Douglas, Edgar, Ford, Hancock, Iroquois, Livingston, Logan, Macon, Menard, Moultrie, Sangamon, Scott.

The work schedule is Monday - Friday 8am - 5pm central time zone.

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.
• 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.

License/Certification:

• For Illinois Youth Care plan only: Bachelor’s degree in nursing, social sciences, social work, or related field; One (1) year of supervised clinical experience in a human-services field.

Pay Range:

Pay Range: $20.39 - $34.71 per hour

Benefits:

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

EEO and Diversity Statement:

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.