Address
Form of work
SalaryYou could be the one who changes everything for our 28 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.
Qualified applicants must reside in one of the following North Carolina cities: Greensboro, Fayetteville, Wilmington, Goldsboro, Jacksonville/New Bern, Greenville, Rocky Mount/Roanoke Rapids, Charlotte/Concord, Winston-Salem or Gastonia
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.
- 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
- Performs other duties as assigned
- Complies with all policies and standards
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.
North Carolina Plan Only: Bachelor's Degree required. A hybrid position that offers the flexibility of working from home along with up to 35% travel conducting field work (in-home visits).
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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.
