
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.
🔥 0 minutes ago
🗻 New Hampshire – 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.
• Provide administrative support for the Foster Care/DCYF team • Assist Care Managers and Care Navigators with emailing and updating monitoring care plans • Maintain assigned monitoring care plans • Complete member outreach to support comprehensive assessments • Support care management activities and assigned member teams • Serve as a liaison with care managers and providers to coordinate member care • Conduct member outreach by phone or home visits • Discuss care plans/service plans, next steps, resources, questions, concerns, and ongoing education with members • Coordinate care activities based on care/service plans • Support member and provider inquiries, requests, and concerns • Respond to some complex or escalated care management issues • Communicate with care managers, practitioners, and others to facilitate member services and continuity of care • Perform service assessments/screening and document member care needs • Document and maintain member records and distribute them to providers as needed • Assist the care management team with triaging, adjusting, and escalating complex requests • Identify needs and make referrals to Care Managers, community-based organizations, and Disease Managers • Provide education on benefits and resources • Assist with training and development needs • Perform other duties as assigned • Comply with all policies and standards
• High School diploma or GED • 2–4 years of related experience • Ability to support care management activities and assigned member teams • Ability to perform member outreach telephonically or through home visits • Ability to coordinate care with healthcare and community providers, partners, members, and caregivers • Ability to perform service assessments/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 • Ability to follow contractual requirements, regulatory guidelines, standards, policies, and standards of practice • Ability to identify needs and make referrals • Ability to provide education on benefits and available resources
• Competitive pay • Health insurance • 401K plan • 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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