You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Supervises care coordination activities to assigned members to ensure appropriate services are delivered by the team and providers while ensuring continuity of care across care/services. Supervises day-to-day activities of care coordination team members and issues related to members and/or providers.
- Must reside in NJ
- Monitors and reviews care coordination documentation including transition of care and service assessments to ensure compliance with contractual requirements and regulatory guidelines and standards
- May assign caseloads to care coordination team based on state and contractual requirements and member needs
- Works with care management team to ensure effective, appropriate care of the member and addressing member needs
- Ensures standards of practice and policies are compliant with contractual requirements and regulatory guidelines and standards
- Educates and provides guidance and/or resources for the care coordination team to address member and/or provider issues and concerns
- Evaluates care coordination team performance and provides feedback regarding performance, goals, and career milestones
- Provides coaching and guidance to care coordination team to improve continuity of care across services
- Assists with onboarding, hiring, and training care coordination team members
- May oversee telephonic (in-bound and/or out-bound), digital, home and/or other site outreach to assess member needs and collaborate with resources
- Ensures adherence to service level, quality and KPI expectations
- Leads and champions change within scope of responsibility
- Performs other duties as assigned
- Complies with all policies and standards Must reside in NJ Education/Experience: Requires a Bachelor's degree and 4+ years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Pay Range: $61,200.00 - $110,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act