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Centene

Runs government-backed health insurance plans

Wellness Health Coach - Behavioral Health

Medical, Clinical & VeterinaryUpdated on Nov 11
Full-timeTexas, USA

About the Job

Requirements

  • An associate's degree or higher is required.
  • Two to four years of related behavioral health or psychiatric experience is required.
  • A Registered Nurse state license or compact state license, a Texas-issued LPC, LCSW, LMFT, or PhD license, or a Certified Health Coach certification is required.
  • Strong communication, organizational, and time-management skills are required.
  • Proficiency with Microsoft Office applications, including Microsoft 365 Copilot, Excel, Outlook, OneNote, Word, PowerPoint, and Teams, is required.

Responsibilities

  • Use applicable clinical training and knowledge to provide appropriate health support and solutions to members with chronic health conditions.
  • Evaluate member needs through telephonic assessments to determine clinical risk and readiness to change.
  • Provide telephonic support and coaching for members on ongoing wellness care plans and programs through outreach and education to improve health and lifestyle.
  • Help members develop attainable wellness goals through plans, support, encouragement, and resources.
  • Monitor wellness plans, member status, and outcomes for care changes, and recommend care-plan updates based on members' needs and identified issues to reduce health risks.
  • Engage and influence members in decisions about achieving and maintaining an optimal healthy lifestyle.
  • Interact with healthcare providers as appropriate to align wellness plans with overall medical plans of care.
  • Collect, document, and maintain member information to comply with current state and federal accreditation standards.
  • Provide leadership with feedback on opportunities to improve and enhance care and quality delivery for members cost-effectively.
  • Perform other duties as assigned.
  • Comply with all policies and standards.

Desired Qualifications

  • For Superior Health Plan in Texas, an LPC, LCSW, LMFT, or RN with direct behavioral health experience is preferred.
  • Four or more years of assessing levels of care for adults and children ages 0–65 is ideal.
  • Three or more years of post-graduate experience working and collaborating with Mental Health Authorities, Medicaid providers, or Community Mental Health providers is ideal.
  • Experience with members in inpatient psychiatric hospitals, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals, or local and state Mental Health Authorities is ideal.
  • Current or previous experience managing members using STAR CHIP, STAR Plus, STAR Health, STAR Kids, or state and government-sponsored program guidelines is highly preferred.
  • A master's degree related to Mental Health, Counseling, or Social Work, or graduation from an accredited school of nursing, is preferred.
  • Being bilingual in English and Spanish is a plus but is not required.

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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