Senior Resource Specialist

Centene; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Join a leading health organization as a Remote Senior Resource Specialist. In this role, you'll support members in accessing essential services, conduct assessments, and collaborate with community stakeholders. This position offers competitive pay and a comprehensive benefits package, emphasizing flexibility and commitment to diversity.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 4 – 6 years of related experience required.
• Equivalent experience may be considered.

Responsibilities

• Conducts reviews and assessments for Medicaid LTSS population.
• Connects members to local resources for services.
• Monitors delivery of care/services and performs follow-ups.

Skills

Social Work

Care Coordination

Case Management

Education

Bachelor's Degree

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.

Must reside in Pennsylvania.

Centene is Hiring – Remote Opportunity!

Are you passionate about helping others and making a difference in your community? Centene is currently seeking a Remote Senior Resource Specialist to support our Pennsylvania Health & Wellness market.

In this role, you’ll conduct reviews and assessments for our Medicaid Long-Term Services and Supports (LTSS) population. We’re looking for professionals with experience in social work, care coordination, or case management who are ready to bring their skills to a mission-driven organization.

Apply today and help us deliver better health outcomes to those who need it most!

Position Purpose: Provides resource expertise to members and connects members to local resources for various services (e.g., employment housing, independent living, justice, foster care) based on service assessment and plans. Works with leadership to address resource service issues and identifies best local resources for member's needs based on industry best practices.

• Assesses needs and assists in the development of care/service plans for members with care team in accordance with their goals and preferences for various services (e.g., employment, housing, independent living, justice, foster care, and/or community transitions) including the identification and coordination of referral for care/services

• Connects members to local resources for various services (e.g., employment housing, independent living, justice, foster care) and assists with obtaining required documentation and supporting the application process, as needed

• Acts as an available experienced resource for members seeking local resource services support and works with members to determine eligibility and care needs based on assessments and care/service plans

• Monitors delivery of care/services and performs follow up to members, caregivers, and/or providers to verify members have been transitioned or have access to the appropriate care/service in a timely manner

• Works with providers, community-based organizations, community stakeholders, and governmental entities to support members and their families and/or caregivers in accessing essential care/services and resources in the local community

• Implements innovative resource programs based on experience and education, to help participants connect to local resources in their community

• Contributes to the development of education and training programs for care management staff and providers to improve resource service identification for members in the local community

• Contributes to the development of materials and works with leadership on the development of local resource services, policies, and procedures including programs, eligibility lease agreements, advocacy, retention, emergency or temporary housing

• May conduct telephonic and in-person outreach to locate individuals and families in the community who are hard to reach

• 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 standards

Education/Experience: Requires a Bachelor's degree and 4 – 6 years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Pay Range: $26.50 - $47.59 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. Total compensation may also include additional forms of incentives.

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