Care Coordinator II

Centene Corporation • Orlando, FL

1d • Hybrid

About The Position

Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. This role involves interacting with members by performing member outreach telephonically or through home-visits and documenting the plan for care/services of activities.

Requirements

• Requires a High School diploma or GED
• Requires 1 – 2 years of related experience
• For Arkansas Total Care plan: Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients
• For Arkansas Total Care plan: Driver's license
• For Arkansas Total Care plan: Child and adult maltreatment check (before hire and recurring)
• For Arkansas Total Care plan: Drug screen (at time of hire and recurring)
• For Arkansas Total Care plan: Must reside in AR or border city

Responsibilities

• Provide 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
• Coordinate care activities based on the care plan/service plan and work with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed
• Serve as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan
• Communicate with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service
• Support performing service assessments/screenings for members and documenting the member’s care needs
• Support documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed
• Follow standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
• Identify needs and make referrals to Care Manager, community based organizations, and Disease Manager
• Provide education on benefits and resources available
• Perform other duties as assigned
• Comply with all policies and standards

Benefits

• competitive pay
• health insurance
• 401K
• stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees