Centene
As a Fortune 25 healthcare leader, we’re committed to providing high-quality, accessible care to individuals and families, especially in underserved communities. Our innovative approach integrates physical, behavioral and social services to make a real difference in health outcomes. We value collaboration and are dedicated to excellence, creating an environment where our employee contributions can truly shine. Join us in transforming healthcare and enhancing the well-being of communities across the country.
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. **Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Iowa. The work schedule is Monday - Friday, 8am - 5pm.** 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.
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.
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.
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