Position Purpose: Perform care coordination function for members with behavioral health and medical concerns
Ensure effective care coordination from one level of care to another.
Work with providers and care teams to provide collaborative care coordination focused on the member’s needs and ensuring the member receives appropriate referrals.
Ensure provider services are delivered without gaps and identify functional deficiencies in care coordination.
Coordinate and monitor community based services for members not covered by Medicaid.
Assist with provision of Medicare & Medicaid coverage and services.
Actively participate on Integrated Care Teams.
Perform health screenings with members to determine care coordination needs or potential for care management referrals.
Education/Experience: Graduate from an Accredited School of Nursing (RN or Practical Nursing), Bachelor’s degree in Social Work, Counseling, Healthcare or related field preferred. A minimum of 3 years of medical or behavioral health or utilization care coordination experience required.
For Tailored Plans Carolina Complete Health plan only: Bachelor’s degree required and 3 years of relevant experience.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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