Care Coordinator III

Centene Corporation•Remote-CA, CA
•$20 - $35

About The Position

The Care Coordinator III works with the senior care management team to support care management activities and member teams. The role helps ensure healthcare providers and partners deliver services and that members experience continuity of care and satisfaction. It serves as a liaison alongside care managers and providers, coordinating care and contacting members by phone or through home visits. Candidates must live in or around Sacramento or Los Angeles, California.

Requirements

  • High school diploma or GED.
  • 2–4 years of related experience.
  • Must live in or around Sacramento or Los Angeles, California.

Responsibilities

  • Contact members by phone or through home visits to discuss care plans or service plans, next steps, resources, questions, concerns, recommended care, and ongoing education, as appropriate.
  • Coordinate care activities based on care plans or service plans, working with healthcare and community providers, partners, members, and caregivers to accommodate changes or progress.
  • Support member and provider inquiries, requests, or concerns related to care plans or service plans.
  • Develop in-depth knowledge of care management services and respond to some complex or escalated issues.
  • Communicate with care managers, practitioners, and others to facilitate member services and continuity of care.
  • Conduct service assessments or screenings for members with some complex needs and document their care needs.
  • Document and maintain member records in accordance with state and regulatory requirements, and distribute records to providers as needed.
  • Assist the care management team with triaging, adjusting, and escalating complex requests to management.
  • Follow standards of practice and policies that comply with contractual requirements and regulatory guidelines and standards.
  • Identify needs and make referrals to a Care Manager, community-based organizations, and a Disease Manager.
  • Educate members about available benefits and resources.
  • May assist with training and development needs.
  • Perform other duties as assigned.
  • Comply with all policies and standards.

Benefits

  • Competitive pay
  • Health insurance
  • 401(k) and stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible approach to work, with remote, hybrid, field, or office work schedules
  • Additional forms of incentives may be included in total compensation, subject to applicable factors and eligibility.
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