Care Coordinator III

Centene Corporation; Illinois; Hybrid; USD 28,000 - 48,000; Full time

Benefits offered by this job

Remote work

Flexible schedules

Benefits package

401K

Job summary

Centene Corporation is seeking a care management support professional for the Illinois Health Plan Medicaid YouthCare program. This is a fully remote role with occasional travel to a local office for quarterly meetings.

The position supports member care plans, liaises with care managers and providers, and ensures continuity of care for Medicaid YouthCare members throughout Illinois. Ideal candidates have a high school diploma or GED with 2–4 years of related experience; IL YouthCare may require

Qualifications

• Requires a high school diploma or GED.
• Requires 2-4 years of related experience.
• Illinois Youth Care plan: Bachelor's degree in nursing, social sciences, social work, or related field; 1 year supervised clinical experience; IL resident.

Responsibilities

• Outreach to members by phone or home visits to discuss care plans and education.
• Coordinate care activities with providers, partners, and members to support continuity of care.
• Respond to inquiries about care plans and services and escalate as needed.
• Develop in-depth knowledge of care management services and handle complex issues.
• Communicate with care managers and practitioners to facilitate services.
• Perform service assessments and screen for members with complex needs.
• Document and maintain member records in line with regulations.
• Triage and escalate complex requests within the care management team.
• Identify needs and make referrals to Care Manager and community organizations.
• Provide education on benefits and available resources.
• Assist with training and development as needed.
• Performs other duties and complies with policies.

Skills

Care coordination

Member outreach

Communication

Documentation

Education

High School diploma or GED

Bachelor's degree in nursing, social sciences, social work, or related field

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. Must reside in IL

Pay Range: $20.39 - $34.71 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, 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