Provide health education and coaching to members tailored to issues identified within treatment and service plans
Coordinate with various healthcare providers for diagnostics, ambulatory care, and hospital services
Assist members with social determinants of health including access to exercise and healthy food
Promote activities focused on the health of a patient and their community, including without limitation outreach, quality improvement, and patient panel management
Coordinate community-based management of medication therapy Provide specialty service care coordination to beneficiaries. Ensure appropriate services are delivered by specialty providers and ensure continuity of care across services.
Responsible for the total care plan, encompassing all services and plans related to beneficiaries. Provide case management complying with Conflict Free Case Management rules.
High school diploma or equivalent. Bachelor's degree in social science or health-related field or 1 years of experience caring for developmentally or intellectually disabled or behavioral health clients.
License/Certification: Valid driver's license and automobile insurance.
For PA Health & Wellness Plan: High school diploma or equivalent. 1 years of experience working in a Managed Care Organization or Healthcare organization.
For New Jersey: High school diploma or equivalent. Bachelor's degree in social science or health-related field or 1 years of experience caring for developmentally or intellectually disabled or behavioral health clients preferred.
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.