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: Determine needs and eligibility of members for various services through field-based collaboration with medical, behavioral, and social support staff. Conduct screening and risk assessment interventions per program guidelines.

This is a remote, field-based position in Dallas, TX. Member visits required

Conduct in-home face to face member assessments and telephonic outreach

Document assessments and contacts, develop and approve service plans, and ensure authorizations are completed

Conduct follow-up contacts or in-person visits to determine if services meet member’s needs

Assess member’s medical, safety and support service needs and coordinate the delivery of services

Provide education related to member’s health condition and care

Assist with modification and management of care plans under the direction of Registered Nurse in conjunction with member, medical consenter or caregiver, Department of Family and Protective Services caseworker and family, if applicable, as well as the managing physician

Maintain case record documents and enter information in an automated system, establishing a record for each member receiving services

Coordinate member care through collaboration with community outreach and member advocates, assigned service coordinators, and/or case managers

Educate providers and community resources on program components and available support services

Educate members to foster compliance with program and positively impact outcomes

75% travel required

Education/Experience: Bachelor’s degree in Social Work, Health Services, Behavioral Science or related field, or equivalent experience. 2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions. Other state specific requirements may apply.

Licenses/Certifications: LPN, LVN, LCSW or RN preferred. Current state driver’s license.

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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