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.

THIS POSITION IS REMOTE/WORK FROM HOME IN CHICAGO, IL. QUALIFIED CANDIDATE MUST RESIDE IN ONE OF THE FOLLOWING ZIP CODE AREAS:
60641, 60681, 60613, 60657, 60647, 60614, 60622, 60642, 60610, 60624, 60612, 60607, 60623, 60608, 60610, 60611, 60654, 60661, 60606, 60601, 60602, 60603, 60604, 60605, 60607

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.

Identify special needs members through the completion of health screens and other resources; working with MMP, Medicare and Medicaid LTSS Aging and PWD population
Work with community outreach/member advocates to coordinate member care
Educate providers and community resources on program components and available support services
Educate members with special needs to foster compliance with program and positively impact outcomes
Conduct site visits as appropriate for programs and provide support to other special programs
Develop and modify care plans in conjunction with member, member’s family and managing physician
Development of plan specific literature and education materials in conjunction with medical director and corporate oversight
This role will travel 75% of the time in the assigned territory with mileage reimbursement round trip at the current IRS guideline rate.

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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