Job description

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care plan development, assessment, and care coordination.

PLEASE NOTE; THIS POSITION IS HYBRID REMOTE WITH FIELD VISITS. APPLICANTS CAN BE LOCATED WITHIN 30 MINUTES OF THE FOLLOWING LOCATION/COUNTIES
South Suburban Cook County
Will County
Kankakee County

Cities:
Dolton
Harvey
Markham
Midlothian
Posen
Dixmoor
South Holland
Calumet City
Lansing
Homewood
Glenwood
Lynwood
Hazel Crest
Country Club Hills
Olympia Fields
Matteson
Tinley Park
Oak Forest
Orland Park
Orland Hills
Chicago Heights
Ford Heights
Park Forest
Richton Park
Sauk Village
Beecher
Pembroke Township
Kankakee
Bradley
Bourbonnais
Peotone
Wilmington
Manteno
Joliet
Manhattan
Shorewood
Crest Hill
Lockport
New Lenox
Robbins
Crestwood
Palos Heights
Palos Hills
Palos Park
Oak Lawn
Chicago Ridge
Bridgeview
Burbank
Hickory Hills
Berwyn

Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development
Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact
Authorize and coordinate referral for services
Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care
Assist in coordinating the development of informal or voluntary services to integrate into the member care plan
Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services
Assist member with filing and resolving complaints and appeals

Education/Experience: Bachelor’s degree or Registered Nurse License and 2+ years of care management experience, Licensed Practical Nurse and 4+ years of care management experience, or 6+ years of care management experience. Home health, discharge planning, or long term care experience preferred.

Licenses/Certifications: Valid driver's license. LPN or RN preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.

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