Care Coordinator II

🔥 0 minutes ago

🤠 Texas – Remote

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💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of Centene Corporation

Centene Corporation

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Support care management activities and assigned member teams • Ensure services are delivered by healthcare providers and partners • Perform member outreach by phone or home visits • Discuss care plans/service plans, next steps, resources, questions, and concerns • Coordinate care activities based on care/service plans • Support member and provider inquiries, requests, and concerns • Communicate with care managers, practitioners, and others to facilitate member services and continuity of care • Support service assessments/screenings and document member care needs • Document and maintain member records and distribute them to providers as needed • Follow contractual, regulatory, and organizational standards and policies • Provide education on benefits and available resources • Perform other duties as assigned

🎯 Requirements

• Must reside in the state of Texas • High School diploma or GED • 1–2 years of related experience • Ability to perform member outreach telephonically or through home visits • Ability to coordinate care activities with healthcare and community providers, partners, members, and caregivers • Ability to support member and provider inquiries related to care plans/service plans • Ability to document and maintain member records in accordance with state and regulatory requirements • Ability to identify needs and make referrals to Care Manager, community-based organizations, and Disease Manager • For Florida-Sunshine Health Plan: all interactions with members are done telephonically • For Arkansas Total Care plan: Bachelor's degree in social science/health-related field OR high school diploma with at least 1 year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients • For Arkansas Total Care plan: driver's license, child and adult maltreatment check, and drug screen required; must reside in Arkansas or a border city; 30% travel required

🏖️ Benefits

• Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation

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