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Centene

Runs government-backed health insurance plans

Care Coordinator 2

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeLittle Rock, AR, USA$17.84 - $28.02 /hr

About the Job

Requirements

  • Requires a high school diploma or GED.
  • Requires 1–2 years of related experience.
  • For the Arkansas Total Care plan, requires a bachelor's degree in a social science or health-related field, or a high school diploma with at least one year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients.
  • Must reside in Arkansas or a border city; candidates for the Pulaski and Lonoke County service area must reside in Pulaski or Lonoke County.
  • Must have a driver's license.
  • Must complete child and adult maltreatment checks before hire and on a recurring basis.
  • Must complete a drug screen at hire and on a recurring basis.
  • Must meet travel requirements; travel is 30%.

Responsibilities

  • Provide outreach to members by phone or home visits to discuss care plans or service plans, next steps, resources, questions, concerns about recommended care, and ongoing education as appropriate.
  • Coordinate care activities based on care plans or service plans with healthcare and community providers, partners, members, and caregivers to accommodate changes or progress.
  • Support member and provider inquiries, requests, or concerns related to care plans or service plans.
  • Communicate with care managers, practitioners, and others to facilitate member services and continuity of care or service.
  • May support service assessments or screenings and document members’ care needs.
  • Document and maintain member records in accordance with state and regulatory requirements and distribute records to providers as needed.
  • Follow standards of practice and policies that comply with contractual requirements and regulatory guidelines and standards.
  • Identify needs and make referrals to care managers, community-based organizations, and disease managers.
  • Provide education on available benefits and resources.
  • Perform other duties as assigned.
  • Comply with all policies and standards.

About the Company

Centene

Runs government-backed health insurance plans

Centene runs government-backed health insurance plans in the United States, with Medicaid as its largest business alongside Medicare and Affordable Care Act Marketplace coverage. It is one of the largest Medicaid insurers in the country and also runs plans for people eligible for both Medicare and Medicaid, long-term care and children in foster care. States and the federal government pay Centene a set amount per member to manage care, and individuals buy its Ambetter Marketplace plans, often with federal subsidies. Centene contracts with local doctors, hospitals and pharmacies and keeps the difference between premiums and the cost of care. The company was founded in 1984 in Milwaukee and is headquartered in Clayton, Missouri.

Company size
10,001+
Company stage
IPO
Headquarters
Clayton, MO
Founded
1984

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