Care Coordinator III

RemoteWorker CA; Nora (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a forward-thinking organization dedicated to transforming community health! This remote position offers the chance to work closely with care management teams, ensuring that services are delivered effectively to members. You will engage with members through phone outreach and home visits, facilitating their care plans and addressing their needs. With a focus on collaboration and member satisfaction, you will play a crucial role in enhancing the quality of care. Enjoy a flexible work schedule and a comprehensive benefits package that supports your well-being and professional growth. If you are passionate about making a difference in healthcare, this is the perfect opportunity for you.

Benefits

Health Insurance

401K

Tuition Reimbursement

Paid Time Off

Qualifications

• Bachelor's degree in nursing or related field with 1 year of clinical experience.
• Strong communication skills to engage with members effectively.

Responsibilities

• Coordinate care activities and ensure continuity of care for members.
• Perform member outreach and document care needs in compliance with regulations.

Skills

Care Management

Communication Skills

Member Outreach

Problem-Solving

Education

Bachelor’s degree in nursing or social sciences

Tools

Electronic Health Records (EHR)

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 POSITION IS REMOTE/WORK FROM HOME. QUALIFIED APPLICANTS WILL RESIDE IN ONE OF THE FOLLOWING ILLINOIS COUNTIES: Bureau, Fulton, Henderson, Henry, Knox, Marshall, Mercer, Peoria, Putnam, Stark, Tazewell, Warren, or Woodford Counties.

THE ROLE WILL TRAVEL APPROXIMATELY 10% INTO OFFICE HUB FOR QUARTERLY TEAM ENGAGEMENT MEETINGS. THE WORK SCHEDULE WILL BE MONDAY - FRIDAY 8AM - 4:30PM OR 8:30AM - 5PM.

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-based 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:

• For Illinois Youth Care Contract: 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: $19.62 - $33.36 per hour.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off