Supervisor, Care Coordination

Centene Corporation

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Supervises care coordination activities to assigned members to ensure appropriate services are delivered by the team and providers while ensuring continuity of care across care/services. Supervises day-to-day activities of care coordination team members and issues related to members and/or providers. Monitors and reviews care coordination documentation including transition of care and service assessments to ensure compliance with contractual requirements and regulatory guidelines and standards May assign caseloads to care coordination team based on state and contractual requirements and member needs Works with care management team to ensure effective, appropriate care of the member and addressing member needs Ensures standards of practice and policies are compliant with contractual requirements and regulatory guidelines and standards Educates and provides guidance and/or resources for the care coordination team to address member and/or provider issues and concerns Evaluates care coordination team performance and provides feedback regarding performance, goals, and career milestones Provides coaching and guidance to care coordination team to improve continuity of care across services Assists with onboarding, hiring, and training care coordination team members May oversee telephonic (in-bound and/or out-bound), digital, home and/or other site outreach to assess member needs and collaborate with resources 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.

Requirements

Requires a Bachelor's degree and 4+ years of related experience.
Iowa Only: Bachelor's degree required and 4+ years experience with populations served or RN and 6+ years of experience with populations served.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
For Arkansas Total Care plan - This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring).
Must reside in AR or border city.
Travel: 20%. Supervisors oversee regional teams and will travel at times to support in-field training, regional team meetings and leadership meetings.

Nice To Haves

Candidate must reside in North Central Arkansas
Hours are M-F 8am-5pm
BH and DD experience

Responsibilities

Supervises care coordination activities to assigned members to ensure appropriate services are delivered by the team and providers while ensuring continuity of care across care/services.
Supervises day-to-day activities of care coordination team members and issues related to members and/or providers.
Monitors and reviews care coordination documentation including transition of care and service assessments to ensure compliance with contractual requirements and regulatory guidelines and standards
May assign caseloads to care coordination team based on state and contractual requirements and member needs
Works with care management team to ensure effective, appropriate care of the member and addressing member needs
Ensures standards of practice and policies are compliant with contractual requirements and regulatory guidelines and standards
Educates and provides guidance and/or resources for the care coordination team to address member and/or provider issues and concerns
Evaluates care coordination team performance and provides feedback regarding performance, goals, and career milestones
Provides coaching and guidance to care coordination team to improve continuity of care across services
Assists with onboarding, hiring, and training care coordination team members
May oversee telephonic (in-bound and/or out-bound), digital, home and/or other site outreach to assess member needs and collaborate with resources
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.