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Centene CorporationCC

Utilization / Care Management Support Coordinator II

Centene Corporation is a leading healthcare enterprise committed to transforming the health of communities through high-quality and affordable healthcare solutions.

Centene Corporation

Employee count: 1001-5000

Salary: 36k-57k USD

United States only

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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

****NOTE: This fully remote role involves completing utilization management related tasks for LTSS waiver members. Preference will be given to applicants who (1) reside in Illinois and have experience with (2) utilization management, authorizations or managed care.

Additional Details:

• Business Unit: Illinois Health Plan

• Department: MED-Case Management / PHCO

• Schedule: Monday through Friday 8-4:30 pm CT****

Position Purpose: Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.

  • Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service
  • Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
  • May apply working knowledge of assigned health plan(s) activities and resources
  • Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols
  • Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship
  • Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed
  • Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience: Requires a High School diploma or GED
Requires 1 – 2 years of related experience

Pay Range: $17.50 - $27.50 per hour

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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

About the job

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Posted on

Job type

Full Time

Experience level

Mid-level

Salary

Salary: 36k-57k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Centene Corporation

Learn more about Centene Corporation and their company culture.

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Centene Corporation is a leading healthcare enterprise dedicated to transforming the health of the communities it serves, one person at a time. Founded in 1984, Centene operates as a Managed Care Organization that provides access to high-quality healthcare solutions. The company serves a diverse population of over 28 million members across the United States by offering affordable and comprehensive healthcare services tailored to the unique needs of each individual. With a strong focus on Medicaid, Medicare, and the Health Insurance Marketplace, Centene remains committed to improving healthcare outcomes while ensuring that its programs are culturally sensitive and responsive to the communities served.

Centene's evolution began as a nonprofit Medicaid plan in Milwaukee, Wisconsin, founded by Elizabeth "Betty" Brinn, a former hospital bookkeeper who recognized the challenges faced by low-income individuals in accessing adequate healthcare. Under the leadership of CEO Sarah M. London, the company has expanded its reach through organic growth and strategic acquisitions, reaffirming its position as the largest Medicaid managed care organization in the U.S. Furthermore, Centene emphasizes local healthcare delivery by employing professionals who reflect the diversity of the populations they serve, ensuring individuals receive personalized care that meets their needs. Centene is also dedicated to corporate sustainability, focusing on removing health-related barriers and enhancing health equity through its community-driven initiatives.

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Centene Corporation

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Centene Corporation hiring Utilization / Care Management Support Coordinator II • Remote (Work from Home) | Himalayas