Manager, Care Coordination

Centene Corporation•Remote-GA, GA

3d•$75,300 - $135,400•Hybrid

About The Position

The Manager, Care Coordination will lead community health workers, social workers, and resource coordinators across Georgia. Candidates must reside in Georgia and have strong Medicaid experience. The schedule is Monday through Friday, approximately 8:00 a.m. to 5:30 p.m., with flexibility to support staff working until 6:00 p.m. The position requires approximately 25% statewide travel. Position Purpose: Manages care coordination activities to assigned members to ensure appropriate services are delivered by providers and ensure continuity of care across services. Manages care coordination team members and escalated issues related to members and/or providers.

Requirements

Requires a Bachelor's degree and 5+ years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Candidates must reside in Georgia
Strong Medicaid experience

Responsibilities

Monitors and reviews member support care coordination activities including transition of care to ensure appropriate services are delivered by providers and ensure continuity of care across services
Oversees and approves assigned caseloads of care coordination team based on state and contractual requirements and member needs
Partners with care coordination management team leaders to ensure effective, appropriate care of the member, addressing member needs, and continuity of care
Ensures standards of practice and policies are compliant with contractual requirements and regulatory guidelines and standards
Sets goals and objectives for care coordination team to provide continuity of care across services
Works with care coordination leadership to provide updates and insights on team goals
Provides feedback to team and other stakeholders to improve services and continuity of care
Educates and provides guidance and/or resources for care coordination team to address member and/or provider issues and concerns
Assists care management senior leadership with onboarding, hiring, and training care coordination team members
May manage telephonic (in-bound and/or out-bound), digital, home and/or other site outreach to assess member needs and collaborate with resources
Manages and ensures adherence to service level, quality and KPI expectations
Leads and champions change within scope of responsibility
Performs other duties as assigned.
Complies with all policies and standards.