Care Coordinator II

Centene Corporation

2d•Hybrid

About The Position

This position supports care management activities and the teams assigned to members to ensure services are delivered by healthcare providers and partners, aiming for continuity of care and member satisfaction. The role involves direct interaction with members through telephonic outreach or home-visits, documenting care plans and service activities.

Requirements

Must live in Kentucky
Requires a High School diploma or GED
Requires 1 – 2 years of related experience

Nice To Haves

LPN preferred

Responsibilities

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 plan
Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service
May support performing service assessments/screenings for members and documenting the member’s care needs
Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed
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
Performs other duties as assigned.
Complies with all policies and standards.