You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT Candidates must reside in Pittsburgh, Philadelphia, or Scranton/Wilkes Barre/Harrisburg. 50% Travel Required. Position Purpose: This role is responsible for working with individuals or groups that are enrolled in Medicaid or Medicare to deliver a range of activities such as outreach, community education, informal guidance and support. Works with community organizations who support individuals with health and life needs/goals such as food, housing, transportation, etc. Conducts telephonic and in person outreach to locate individuals and families. Provides education or support for health, life needs and/or social services. Conducts basic non-clinical guideline assessments and refer to appropriate services, resolve concerns on member’s behalf based on guidelines, and gather information for medical providers and staff working within our organization. Conduct other guidelines assessments such as home safety, assessment of the community/environment and resources, and assessment of non-medical needs such as transportation, employment, etc. and refer members to appropriate services, resolve concerns on members behalf based on guidelines. Works with community organizations that support individuals with health and life needs/goals such as food, housing, transportation, etc. Participate in coordination, follow up, and resolution of medical and non-medical needs including appointment tracking, documentation, referrals and follow up, facilitating transportation to services, etc. Provide information to staff on vulnerable communities, including awareness and education on vulnerable communities. Must make frequent visits to individual homes and community organizations.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED