CRIMINAL JUSTICE CARE

Centene Corporation; Jackson (MS); Híbrido; USD 32.000 - 53.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

401K and stock plans

Tuition reimbursement

Paid time off + holidays

Flexible work schedules

Descripción de la vacante

Centene seeks a care-management professional in Mississippi to develop, assess, and coordinate care for members, creating personalized care plans and educating patients and families on services and benefits. The role emphasizes advocacy, timely access to care, and collaboration with providers to improve health outcomes.

Requires a Bachelor’s degree with 2–4 years of related experience; nursing licensure is preferred if clinically licensed, with LSW/LMSW preferred for Mississippi Magnolia Health

Formación

• Requires a Bachelor’s degree and 2–4 years of related experience.
• Graduate from an Accredited School of Nursing if holding clinical licensure.
• LSW/LMSW preferred for Mississippi Magnolia Health plan.

Responsabilidades

• Develops, assesses, and coordinates care management activities for members to provide quality, cost-effective outcomes.
• Develops or contributes to personalized care/service plans and educates members and families on services and benefits.
• Identifies providers and community resources and facilitates access to care in a timely manner.
• Documents and maintains member information to ensure regulatory compliance.
• May conduct on-site visits and provide education on procedures and benefits.

Educación

Bachelor's degree

2–4 years related experience

Descripción del empleo

Position Purpose

Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.

Key Details

Candidate must live in Mississippi. Behavioral Health experience preferred. Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome. Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care. Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as employment, education, housing, food, participant direction, independent living, justice, foster care based on service assessment and plans. Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner. May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborate with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate. Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third‑party payer regulators. May perform on‑site visits to assess member’s needs and collaborate with providers or resources, as appropriate. May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits. Other duties or responsibilities as assigned by people leader to meet the member and/or business needs. Performs other duties as assigned. Complies with all policies and standard.

Education/Experience

Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

License/Certification

For Mississippi Magnolia Health plan: Bachelor’s or Master’s degree in a healthcare related field (social work, sociology, psychology, public health) and 2 – 4 years of related experience; LSW,LMSW preferred.

Pay Range

$22.94 - $38.79 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.

Benefits

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.

Equal Opportunity

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.

Disability and Background Considerations

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.