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Centene

Runs government-backed health insurance plans

Community Resource Coordinator 3

Case Management & AdvocacyPosted on Nov 12
Full-timeOhio, USA$20.39 - $34.71 /hr

About the Job

Requirements

  • High school diploma or GED is required.
  • Two to four years of related experience are required.
  • Working knowledge of Social Determinants of Health (SDOH) barriers is required.
  • The candidate should be computer savvy and proficient in Microsoft Office applications.
  • Strong assessment abilities, attention to detail, organization, and time-management skills are essential.
  • Excellent communication and customer-service skills are required.
  • Applicants must reside in Ohio.

Responsibilities

  • Work with the care-management team on community-resource connection activities, connecting members to resources that support their care-management journey and provide necessary care resources cost-effectively.
  • Provide ongoing support to members to connect them to known community and care resources cost-effectively.
  • Coordinate community outreach resources available to members and promote awareness of care and services.
  • Serve as experienced support for member inquiries about community and care resources and opportunities.
  • Use in-depth knowledge of community-resource connection activities and resource opportunities.
  • Support member-related correspondence and educational materials to facilitate successful community connections.
  • Work with the care-management team to escalate community-resource requests and inquiries to management and identify member community support.
  • Document and maintain community resources to ensure standards of practice and policies comply with health-plan requirements.
  • Support nurses and social workers with outreach, community education, evidence-based guidance, and member support.
  • Conduct non-clinical general health assessments to refer members to appropriate services, resolve concerns on members' behalf, and gather information for medical providers and organizational staff.
  • Conduct non-medical assessments, including home safety, community and environmental resources, transportation, and employment, to refer members to appropriate services, resolve concerns on members' behalf, and gather information for medical providers and organizational staff.
  • Conduct telephonic and/or in-person outreach to locate hard-to-reach individuals and families in the community.
  • Visit individual homes and/or community organizations as needed.
  • Perform other duties as assigned.
  • Comply with all policies and standards.

Desired Qualifications

  • Experience in motivational interviewing, case management, and employment-resource navigation is ideal.

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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