You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team.
Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
- Must reside in Lewis, Oneida, Madison, Chenango Otsego or Herkimer County, NY
- Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development
- Monitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contact
- Authorize and coordinate referral for services
- Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care
- Assist in coordinating the development of informal or voluntary services to integrate into the member care plan
- Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services
- Assist member with filing and resolving complaints and appeals
- Direct care to participating network providers
- Participate in care management committees and work on special projects related to care management as needed
Must reside in Lewis, Oneida, Madison, Chenango Otsego or Herkimer County, NY
Education / Experience : 3+ years of care management experience preferred, Home health, discharge planning, or long term care experience preferred.
Licenses / Certifications : Valid driver's license. NYS RN license required.
Pay Range : $25.97 - $46.68 per hour
Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
Total compensation may also include additional forms of incentives.
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