Care Coordinator IV

Centene Corporation; Raleigh (NC); On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Health insurance

Flexible work schedules

Remote/Hybrid/Field or Office options

Job summary

Centene Corporation is seeking a Care Manager to provide care management and coordination for pediatric members from birth through age five. The role includes assessments, care plan development, and connecting families with resources.

Residing in North Carolina is required, with a standard schedule and potential flexible scheduling after training. The position supports the Pediatric Care Management team, coordinating with providers and care managers to ensure continuity of care and proper

Qualifications

• Requires High School Diploma or GED.
• 4+ years of related experience.

Responsibilities

• Lead care coordination activities to ensure appropriate services are delivered.
• Coordinate care plans with providers and community partners.
• Perform member outreach via phone or home visits.
• Document and review member records per regulatory requirements.
• Oversee assessments/screenings for complex cases.
• Provide education on benefits and resources.

Skills

Care coordination

Member outreach

Documentation

Education

Education

High School Diploma or GED

Job description

The Care Manager will provide care management and coordination for pediatric members from birth through age five. Responsibilities include conducting assessments and screenings, developing care plans, and connecting members and their families with appropriate resources.This position supports the Pediatric Care Management team.The role follows a standard schedule. Flexible scheduling may be available after the employee is hired and completes training.Candidates must reside in North Carolina.

Position Purpose

Leads the care coordination team to support care management activities to assigned members to ensure appropriate services are delivered by providers and ensure continuity of care across services. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for the member and interacts with members by performing member outreach telephonically or through home-visits.Leads and oversees outreach to members via phone or home visits to engage member and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for both the member and provider throughout care/service, as appropriateCoordinates 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 neededProvides continuous support and insight and serves as support on various highly complex member and/or provider inquiries, requests, or concerns related to care plans/service plansDevelops advanced knowledge of care management services including responding to some complex or escalated issuesCommunicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of careMay oversee service assessments/screenings for members with complex needs and documents the member’s care needsDocuments, maintains, and reviews member records in accordance with state and regulatory requirements and provide to providers as neededWorks with care management team with triaging, adjusting, and escalating highly complex requests to managementFollows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standardsAbility to identify needs and make referrals to Care Manager, community based organizations, and Disease ManagerProvide education on benefits and resources availableMay assist with training and development needsPerforms other duties as assigned.Complies with all policies and standards.

Education/Experience

Requires a High School Diploma or GED.Requires 4+ years of related experience

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, 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