Care Coordinator IV Job at Centene Corporion, Phoenix, AZ

V3dZdmQwUEx0c2puWjdrcForR3MyaDliS1E9PQ==
  • Centene Corporion
  • Phoenix, AZ

Job Description

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: Leads the care coordination team to support care management activities to assigned members to ensure appropriate services are delivered by providers and ensure continuity of care across services. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for the member and interacts with members by performing member outreach telephonically or through home-visits.

+ Leads and oversees outreach to members via phone or home visits to engage member and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for both the member and provider throughout care/service, as appropriate

+ Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed

+ Provides continuous support and insight and serves as support on various highly complex member and/or provider inquiries, requests, or concerns related to care plans/service plans

+ Develops advanced knowledge of care management services including responding to some complex or escalated issues

+ Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care

+ May oversee service assessments/screenings for members with complex needs and documents the member’s care needs

+ Documents, maintains, and reviews member records in accordance with state and regulatory requirements and provide to providers as needed

+ Works with care management team with triaging, adjusting, and escalating highly complex requests to management

+ Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards

+ Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager

+ Provide education on benefits and resources available

+ May assist with training and development needs

+ Performs other duties as assigned

+ Complies with all policies and standards

Education/Experience: Requires a High School diploma or GED

Requires 4+ years of related experiencePay Range: $22.07 – $37.25 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

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.

Job Tags

Hourly pay, Holiday work, Flexible hours,

Similar Jobs

Tutor Doctor Chandler-Gilbert- Phoenix

Math Tutor Job at Tutor Doctor Chandler-Gilbert- Phoenix

Tutor Doctor Join Our Team as a High School Math Tutor!Are you a passionate educator with a knack for illuminating the world of mathematics for high school students? Tutor Doctor Chandler-Gilbert is seeking dedicated high school math tutors to guide and inspire local... 

Trustbridge, Inc.

Volunteer Coordinator - West Palm Beach Job at Trustbridge, Inc.

 ...by the Sea have cared for 200,000 families in South Florida. These three hospices are now one branch of Trustbridge, a community nonprofit that provides support for families facing serious illness 24 hours a day. Our other services include palliative medicine, caregiver... 

Bold Business

Grooms Tech Job at Bold Business

 ...Remote / Work from Home Las Vegas, Nevada, 88901 We are looking for a Grooms Tech with excellent troubleshooting skills who can perform Remote Logical Grooms of Transport circuits from old to new paths. Job Responsibilities: Pre-configure new circuit ports... 

Pillar to Post Home Inspectors The Chad Borah Team

Home Inspector Job at Pillar to Post Home Inspectors The Chad Borah Team

The Chad Borah Team is the #1 Pillar To Post home inspection franchise in North America. Our mission is to provide a home inspection...  ...always improving and we are looking to add an entry level home inspector. We are exceptional at training and effectively on-boarding new... 

WellBiz Brands, Inc.

Massage Therapist Job at WellBiz Brands, Inc.

 ...Great working environment for massage therapists . You'll make more and have better tips because we have upscale clientele. Youll be busy at our spa! And we will support your continued education and growth with career advancement opportunities. We match you to clients...