centene

  • Encrypted
    Site is Encrypted

  • Country
    Hosted in United States

  • Latitude\Longitude
    37.751 / -97.822    Google Map

  • Traffic rank
    #76,073 Site Rank

  • Site age
    27 yrs old

  • Site Owner information
    Whois info

Traffic rank
#76,073
Site age
27 yrs
Location
United States
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Newest job postings for centene
via Centene - Centene Corporation posted_at: 3 days agoschedule_type: Full-time
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. Position Purpose: Provide support to medical, behavioral and social support staff to determine needs, eligibility and... services for members. Conduct screening and risk 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.

Position Purpose: Provide support to medical, behavioral and social support staff to determine needs, eligibility and... services for members. Conduct screening and risk assessment interventions per program guidelines.

Identify special needs members through the completion of health screens and other resources.
Work with community outreach/member advocates to coordinate member care.
Educate providers and community resources on program components and available support services.
Educate members with special needs to foster compliance with program and positively impact outcomes.
Conduct site visits as appropriate for programs and provide support to other special programs.
Assist with modification and management of care plans under the direction of a Registered Nurse in conjunction with member, medical consenter or caregiver, Department of Family and Protective Services (DFPS) caseworker and family, if applicable, as well as the managing physician.

Education/Experience:
Bachelor’s degree in Social Work, Health Services, Behavioral Science, or related field, or equivalent experience. 2+ years of experience in a managed care environment or working with people who have disabilities and/or with vulnerable populations who have chronic or complex conditions. Other state specific requirements may apply.

Licenses/Certifications: LPN, LVN or LCSW preferred.

Pennsylvania requirements: Bachelor's degree or Registered Nurse License and 3+ years of experience in a social service or health care related setting, Licensed Practical Nurse and 5+ years of experience in a social service or health care related setting, or 7+ years of experience in a social service or health care related setting.

MHS Indiana plan only: Service coordinators must be registered nurses or licensed practical nurses, have at least one (1) year of experience serving the program population, have bachelor’s degrees, or associate's degrees with one (1) year of experience delivering healthcare/social services or case management, or at least two (2) or more years in care planning, care management, or delivering healthcare or social services. Services Coordinators are permitted to not have a degree if they have two or more years of care planning, care management, or delivering healthcare or social services. A portion of the Contractor’s Service Coordinators shall have experience in behavioral health so that they may appropriately assist members with behavioral health conditions.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law
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via Centene - Centene Corporation posted_at: 3 days agoschedule_type: Full-time
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. Position Purpose: Determine needs and eligibility of members for various services through field-based collaboration... with medical, behavioral, and social support staff. 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.

Position Purpose: Determine needs and eligibility of members for various services through field-based collaboration... with medical, behavioral, and social support staff. Conduct screening and risk assessment interventions per program guidelines.

Conduct in-home face to face member assessments and telephonic outreach
Document assessments and contacts, develop and approve service plans, and ensure authorizations are completed
Conduct follow-up contacts or in-person visits to determine if services meet member’s needs
Assess member’s medical, safety and support service needs and coordinate the delivery of services
Provide education related to member’s health condition and care
Assist with modification and management of care plans under the direction of Registered Nurse in conjunction with member, medical consenter or caregiver, Department of Family and Protective Services caseworker and family, if applicable, as well as the managing physician
Maintain case record documents and enter information in an automated system, establishing a record for each member receiving services
Coordinate member care through collaboration with community outreach and member advocates, assigned service coordinators, and/or case managers
Educate providers and community resources on program components and available support services
Educate members to foster compliance with program and positively impact outcomes
75% travel required

Education/Experience: Bachelor’s degree in Social Work, Health Services, Behavioral Science or related field, or equivalent experience. 2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions. Other state specific requirements may apply.

Licenses/Certifications: LPN, LVN, LCSW or RN preferred. Current state driver’s license.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law
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via Centene - Centene Corporation posted_at: 3 days agoschedule_type: Full-time
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. Position Purpose: Oversee the regional staff to ensure health plan programs are designed, implemented, and operated... within defined parameters. Ensure Corporate’s strategic 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.

Position Purpose: Oversee the regional staff to ensure health plan programs are designed, implemented, and operated... within defined parameters.

Ensure Corporate’s strategic objectives are maintained at the regional health plan facilities.
Assist in the development and implementation of work processes and operational systems.
Research changes and updates to government regulations or health plan guidelines.
Provide on-call duties as assigned for potential interventions and follow up on urgent call issues.
Identify trends and root causes of problems; provide recommendations for improvements, documentation, and training.
Participate in the integration of specialty products in health plan operations.

Education/Experience: Bachelor’s degree in Nursing, Social Work, Health Care Administration, related field or equivalent experience. 7+ years of nursing, social work, healthcare administration, or patient/community advocacy experience. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

License/Certification: Current state’s nursing license or Licensed Clinical Social Worker (LCSW) preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law
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