Job Description

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. ### **This is a remotework-from-home opportunity where member visits are required. There will be local travel within a 30-mile radius up to 75% of the time. Candidates must reside in Miami-Dade County to be considered for this role. Preference given to candidates residing in the following locations: Hialeah, Miami Gardens, Aventura, Miami Beach, or Coral Gables.** ### **Bilingual Spanish speakers and candidates with experience in care management and LTSS services strongly preferred.** **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plansservice plans for long-term care members and educates members and their familiescaregivers on services and benefits available to meet member needs.

• Evaluates the needs of the member, the resources available, and recommends andor facilitates the plan for the best outcome
• Assists with developing ongoing long-term care plansservice plans and works to identify providers, specialist, andor community resources needed for long-term care
• Coordinates as appropriate between the member andor familycaregivers and the care provider team to ensure identified services are accessible to members
• Provides resource support to members and their familiescaregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
• Monitors care plansservice plans, member status and outcomes, as appropriate, and provides recommendations to care planservice plan based on identified member needs
• Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
• Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• May perform home andor other site visits to assess member’s needs and collaborate with healthcare providers and partners
• Provides andor facilitates education to long-term care members and their familiescaregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
• Performs other duties as assigned
• Complies with all policies and standards
• *EducationExperience:** Requires a Bachelors degree and 2 – 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. **LicenseCertification:** Valid drivers license. LPN or RN preferred. Pay Range: $25.97 - $46.68 per hour 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 individuals 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

Job Tags

Hourly pay, Holiday work, Full time, Local area, Remote job, Flexible hours,

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