Care Coordinator III

Job not on LinkedIn

🔥 4 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $20 - $34 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Centene Corporation

WebsiteLinkedInAll Job Openings

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 Long Term Care Care Coordination through member outreach and mailings, appointment scheduling and reminders, prescription coordination, and provider follow-up • Support the senior care management team and assigned member teams to ensure provider services, continuity of care, and member satisfaction • Conduct member outreach by phone or home visits to discuss care plans, resources, questions, concerns, and ongoing education • Coordinate care activities with healthcare and community providers, partners, members, and caregivers • Respond to member and provider inquiries, requests, and concerns related to care plans • Communicate with care managers, practitioners, and others to facilitate member services • Perform service assessments and screenings and document member care needs • Maintain member records and distribute documentation to providers as needed • Triage, adjust, and escalate complex requests to management • Identify needs and make referrals to Care Managers, community-based organizations, and Disease Managers • Provide education on available benefits and resources • Assist with training and development needs • Comply with policies, contractual requirements, regulatory guidelines, and standards • Perform other duties as assigned

🎯 Requirements

• Must reside in Ohio • High School diploma or GED • Requires 2 - 4 years of related experience • Preference for experience in managed care, physician office or health system operations, healthcare administration, and/or medical terminology • Ability to work 8am-5pm ET, with potential overtime including evenings and weekends • Ability to travel up to 10% to various Ohio offices for essential business meetings • Knowledge of care management services and handling complex or escalated issues • Ability to perform service assessments/screening for members with complex needs • Ability to document member records in accordance with state and regulatory requirements • Knowledge of contractual requirements and regulatory guidelines and standards

🏖️ Benefits

• Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off • Holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Potential overtime, including evenings and weekends as needed