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You could be the one who changes everything for our 25 million membersCentene is transforming the health of our communities, one person at a timeAs a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position purpose:
Responsible for day-to-day oversight of the integrated care managers and coordination of necessary resources for membersThis may include adequate clinical, behavioral, acute/chronic, and social care services.
Ensure staff is able to facilitate member and provider needs through entire care management cycle.
Partner with internal staff on key initiatives and outreach for members as needed.
Coordinate and communicate on access issues, assessments, internal protocols.
Implement policies and procedures through oversight for complex cases and present to management
Assist in recruitment efforts in accordance to the staff to member ratio
Coordinate the training of care management staff
Facilitate on-going communication between care management staff and providers
Assign cases and oversee care management caseloads including service care plan approval and member case file reviews
Maintain compliance with federal and state regulations and contractual agreements
Supervise the daily activities of staff to promote quality improvement and efficient methods
For arizona complete health – complete care plan:
Compile and review multiple reports for statistical and financial tracking purposes to identify case management trends and assist in financial forecasting.
Our comprehensive benefits package:
Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Competitive pay
Paid time off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development
Education/experience:
Bachelor’s degree in nursing, social work, health care administration, related field or equivalent experience4+ years of social work, healthcare administration, patient/community advocacy, care management , or combined care management and clinical nursing experiencePrevious experience as a lead in a functional area or managing cross functional teams on large scale projects.
Licenses/certifications: licensed clinical social worker (lcsw), licensed marriage & family therapist (lmft), licensed behavioral health medical practitioner, licensed professional counselor, licensed substance abuse counselor, licensed psychologist, or registered nurse preferred.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are differentAll 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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Posted 22 days ago
