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Centene

Runs government-backed health insurance plans

Community Resource Coordinator II

Case Management & AdvocacyUpdated on Nov 14
Full-timeNorth Carolina, USA$17.84 - $28.02 /hr

About the Job

Requirements

  • A high school diploma or GED is required.
  • One to two years of related experience is required.
  • Applicants must reside in one of the specified North Carolina counties.
  • Working knowledge of Social Determinants of Health barriers is required.
  • Candidates should be computer-savvy and have strong communication, customer service, and assessment skills, and be able to work independently and as part of a team.

Responsibilities

  • Support members in connecting with known community and care resources cost-effectively.
  • Coordinate community outreach resources available to members and promote awareness of care and services.
  • Respond to member inquiries about community and care resources and opportunities.
  • Support member-related correspondence and educational materials to facilitate community connections.
  • Document and maintain community resources in accordance with standards of practice, policies, and health plan requirements.
  • Assist nurses and social workers with outreach, community education, informal guidance, and member support.
  • Conduct non-clinical general health assessments to refer members to appropriate care or services, resolve concerns on members’ behalf, and gather information for medical providers and staff.
  • Conduct non-medical assessments of home safety, community and environmental resources, transportation, employment, and other needs to refer members to appropriate care or services, resolve concerns, and gather information for medical providers and organizational staff.
  • Conduct telephone 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 and comply with all policies and standards.

Desired Qualifications

  • Experience in field-based maternal and child health services, community outreach, and conducting home visits 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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