Care Coordinator II

Centene • San Antonio, TX

389d • $35,714 - $56,098

About The Position

The Care Coordinator II at Centene Corporation plays a crucial role in supporting care management activities for members, ensuring that healthcare services are effectively delivered and that member satisfaction is achieved. This position involves direct interaction with members through outreach via phone or home visits, coordinating care activities, and maintaining accurate documentation of care plans and services.

Requirements

• Requires a High School diploma or GED
• Requires 1 - 2 years of related experience
• Preferred Work Experience: 2+ years of care coordination, administering intake health assessments, and/or working directly in a physician office and/or community health clinic
• Working knowledge of medical terminology and must be proficient utilizing Microsoft Applications (Word, Excel, Outlook, MS Teams, etc)
• Work experience utilizing EMR, EHR, or Case Management systems is preferred
• For Superior Health Plan Only: Direct experience working with individuals who have disabilities and/or with vulnerable populations who have chronic or complex conditions, including children and young adults within three of the last five years required

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

Benefits

• competitive pay
• health insurance
• 401K and 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
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED