
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.
🔥 13 hours ago
🏄 California – Remote
💵 $20 - $34 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
🚫👨🎓 No degree required
👻 Ghost score 0%
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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.
• Support the senior care management team and assigned member care teams • Ensure services are delivered by healthcare providers and partners • Help achieve continuity of care and member satisfaction • Liaise with care managers and providers to coordinate member care • Conduct member outreach by telephone and home visits • Discuss care plans, service plans, next steps, resources, questions, and concerns with members • Coordinate care activities based on care and service plans • Support member and provider inquiries, requests, and concerns • Respond to complex or escalated care management issues • Communicate with care managers, practitioners, and other stakeholders to facilitate member services • Perform service assessments and screenings for members with complex needs • Document and maintain member records and distribute records to providers as needed • Triage, adjust, and escalate complex requests to management • Follow contractual, regulatory, and organizational standards and policies • Identify member needs and make referrals to Care Managers, community-based organizations, and Disease Managers • Provide education on benefits and available resources • Assist with training and development needs as needed • Perform other duties as assigned
• High School diploma or GED required • 2–4 years of related experience required • Must live in or around Sacramento or Los Angeles, California • Ability to perform member outreach by phone and home visits • Ability to coordinate care with healthcare and community providers, partners, members, and caregivers • Ability to perform service assessments and screening for members with complex needs • Ability to document and maintain member records in accordance with state and regulatory requirements • Ability to triage, adjust, and escalate complex requests • Knowledge of care management services • Ability to identify needs and make referrals • Ability to provide education on benefits and available resources
• Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off • Paid holidays • Flexible work approach with remote, hybrid, field, or office work schedules • Competitive pay • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity
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