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.
MUST BE LOCATED IN OR NEAR BROOKLYN, NY - This is a field role.
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 providers 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
Direct care to participating network providers
Participate in care management committees and work on special projects related to care management as needed
Education/Experience: 3+ years of care management experience preferred, Home health, discharge planning, or long term care experience preferred.
Licenses/Certifications: Valid driver's license. NYS RN license required.
The salary range for NY is: $32.46 - $58.56 per hour
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
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.
Job Types: Full-time, Permanent
Pay: $32.46 - $58.56 per hour
Benefits:
- 401(k)
- Health insurance
- Paid time off
- Tuition reimbursement
Medical specialties:
- Home Health
Physical setting:
- Long term care
Standard shift:
- Day shift
Supplemental schedule:
- Overtime
Weekly schedule:
- Monday to Friday
Education:
- Associate (Preferred)
Experience:
- Nursing: 1 year (Preferred)
- Home care: 1 year (Preferred)
- UAS: 1 year (Preferred)
License/Certification:
- Driver's License (Required)
- New York State RN License (Required)
Willingness to travel:
- 100% (Preferred)
Work Location: On the road
laviolettawines.com.au is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, laviolettawines.com.au provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, laviolettawines.com.au is the ideal place to find your next job.