Care Coordinator II

Centene Management Company • Fort Smith, AR

3d • Onsite

About The Position

Supports care management activities and the teams assigned to members, helping ensure services are delivered by healthcare providers and partners and that continuity of care and member satisfaction are achieved. The role engages members by phone or through home visits and documents plans for care and services. This is a field-based position supporting members with Behavioral Health (BH) and Developmental Disabilities (DD) needs. The employee must reside in Arkansas or a border city and travel throughout Sebastian and Crawford counties; travel is approximately 30%. The position is designated safety sensitive in Arkansas.

The role provides outreach to members to discuss care or service plans, next steps, resources, questions or concerns about recommended care, and ongoing education as appropriate. It coordinates care activities with healthcare and community providers, partners, members, and caregivers, and supports inquiries or concerns related to care plans. The position may assist with member assessments or screenings, document care needs, maintain member records in accordance with state and regulatory requirements, and refer members to care managers, community-based organizations, or disease managers. It also provides education about available benefits and resources and performs other assigned duties while complying with applicable policies and standards.

Centene offers a comprehensive benefits package that includes competitive pay, health insurance, a 401(k) and stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements. Actual pay may vary based on skills, experience, education, job-related factors, and full-time or part-time status. Total compensation may include incentives, and benefits may be subject to program eligibility.

Requirements

• High school diploma or GED.
• 1–2 years of related experience.
• For the Arkansas Total Care plan, a bachelor's degree in a social science or health-related field, or a high school diploma with at least one year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients.
• Must reside in Arkansas or a border city.
• Must have a driver's license.
• Must complete child and adult maltreatment checks before hire and on a recurring basis, and a drug screen at hire and on a recurring basis.
• Ability to travel throughout Sebastian and Crawford counties; travel is approximately 30%.

Responsibilities

• Provide outreach to members by phone or home visits to discuss care or service plans, next steps, resources, questions or concerns, and ongoing education as appropriate.
• Coordinate care activities based on care or service plans with healthcare and community providers, partners, members, and caregivers, accommodating changes or progress as needed.
• Support member and/or provider inquiries, requests, and concerns related to care or service plans.
• Communicate with care managers, practitioners, and others to facilitate member services and continuity of care or services.
• May assist with service assessments or screenings and document members’ care needs.
• Document and maintain member records in accordance with state and regulatory requirements and distribute records to providers as needed.
• Follow standards of practice and policies that comply with contractual requirements and regulatory guidelines and standards.
• Identify needs and make referrals to care managers, community-based organizations, and disease managers.
• Provide education on available benefits and resources.
• Perform other duties as assigned and comply with all policies and standards.

Benefits

• Competitive pay
• Health insurance
• 401(k) plan
• Stock purchase plans
• Tuition reimbursement
• Paid time off
• Paid holidays
• Flexible work arrangements, including remote, hybrid, field, or office schedules

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED