
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.
🔥 16 minutes ago
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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 teams assigned to members • Coordinate care to ensure services are delivered and continuity of care/member satisfaction is achieved • Serve as a liaison among care managers, healthcare providers, community providers, partners, members, and caregivers • Conduct member outreach by phone or home visits • Discuss care plans/service plans, next steps, resources, questions, concerns, and ongoing education • Coordinate care activities based on care/service plans and accommodate changes or progress • Respond to member and provider inquiries, requests, and concerns • Develop knowledge of care management services and respond to complex or escalated issues • Communicate with care managers, practitioners, and others to facilitate member services • Perform service assessments/screening for members with complex needs and document care needs • Document and maintain member records in accordance with state and regulatory requirements • Triage, adjust, and escalate complex requests to management • Follow contractual, regulatory, and organizational standards and policies • Provide education on benefits and available resources • Assist with training and development needs • Perform other duties as assigned
• Applicants must reside in one of the following Illinois counties: Cook, DuPage, Grundy, Kane, Kankakee, Kendall, Lake, McHenry, or Will • Monday–Friday, 8am–5pm Central time zone availability • Bachelor's degree in nursing, social sciences, social work, or related human services/social services field for the Illinois Youth Care plan • One (1) year of supervised clinical experience in a human-services field • High School diploma or GED • 2–4 years of related experience • Must reside in Illinois • Ability to perform member outreach telephonically or through home visits • Knowledge of care management services and handling complex or escalated issues • Ability to perform service assessments/screening and document member care needs • Ability to maintain records in accordance with state and regulatory requirements • Ability to identify needs and make referrals to Care Managers, community-based organizations, and Disease Managers
• Competitive pay • 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
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