Full-Time

Care Coordinator III

Confirmed live in the last 24 hours

Centene

Centene

10,001+ employees

Provides health insurance and services

Healthcare

Compensation Overview

$19.62 - $33.36Hourly

Junior, Mid

Remote in USA

Qualified applicants must reside in one of the following Illinois counties: Bureau, Fulton, Henderson, Henry, Knox, Marshall, Mercer, Peoria, Putnam, Stark, Tazewell, Warren, or Woodford Counties.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Requirements
  • Bachelor’s degree in nursing, social sciences, social work, or related field
  • One (1) year of supervised clinical experience in a human-services field
Responsibilities
  • Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member 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
  • Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans
  • Develops in-depth 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
  • Performs service assessments/screening for members with some complex needs and documents the member’s care needs
  • Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed
  • Works with care management team with triaging, adjusting, and escalating 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 cased 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

Centene Corporation operates in the healthcare industry, focusing on providing health insurance and services to individuals, particularly those who are underinsured or uninsured. The company offers a variety of health insurance products, including medical, dental, vision, and behavioral health services, as well as pharmacy benefits. Centene's business model emphasizes a localized approach, allowing it to tailor its services to meet the specific needs of different communities across the United States. This strategy sets Centene apart from competitors by ensuring that care is relevant and accessible to its members. The company generates revenue primarily through premiums collected from its 27.5 million members, amounting to $140.1 billion in 2023. Centene's goal is to improve health outcomes while managing costs, and it is committed to corporate sustainability, addressing social barriers to health, and supporting employee well-being through flexible work arrangements.

Company Stage

IPO

Total Funding

N/A

Headquarters

Saint-Louis, Senegal

Founded

1984

Simplify Jobs

Simplify's Take

What believers are saying

  • Expansion of telehealth services enhances access for underserved populations.
  • ICHRA introduction attracts customers seeking personalized, flexible insurance options.
  • Essential Plan expansion highlights growth potential in low-cost insurance markets.

What critics are saying

  • Increased competition in the Health Insurance Marketplace may impact Centene's market share.
  • Potential regulatory changes in Medicaid and Medicare could affect revenue streams.
  • Economic downturns may decrease premium collections, impacting financial performance.

What makes Centene unique

  • Centene's localized approach tailors healthcare services to specific community needs.
  • The company offers a wide range of health insurance products through local brands.
  • Centene focuses on cost-effective, high-quality care for underinsured and uninsured individuals.

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Benefits

Health Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Hybrid Work Options

Flexible Work Hours