Care Coordinator Phillips County

Centene Corporation Little Rock , AR 72215

Posted 2 months ago

Position Purpose:

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.

Education/Experience:

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.



icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Managed Care Coordinator

Anthem, Inc.

Posted 2 months ago

VIEW JOBS 9/16/2021 12:00:00 AM 2021-12-15T00:00 Description: Description SHIFT: Day Job SCHEDULE: Full-time Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company. The Managed Care Coordinator is responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and contract. Travel: This position requires travel up to 75% Locations: 1) Rogers, 2) Springdale, 3) Siloam Springs, 4) Harrison, 5) Prescott, 6) Springdale, 7) Fayetteville, 8) Huntsville, 9) Salem, 10) Mountain Home, 11) Jonesboro, 12) Jonesboro, 13) Marion, 14) Monticello, 15) Hot Springs, 16) Malvern, 17) Pine Bluff, 18) Clarksville, 19) Cabot, 20) Blytheville, 21) Little Rock, 22) Little Rock, 23) Little Rock, 24) Fort Smith, 25) Searcy, 26) Gurdon, 27) Evening Shade, 28) Rogers Hours: 8:00 am - 5:00 pm, Monday through Friday, with potential evening or weekend hours to meet the needs of our members. Primary duties includes, but are not limited to: * Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. * Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and coordinates those member's cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. * The process does not involve clinical judgment. * Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of services. * Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, and physicians. * Identifies members that would benefit from expanded services. Qualifications The health and safety of our associates, members and communities is a top priority for Anthem. This priority has become increasingly important as we continue to face the challenges of the COVID-19 pandemic. Anthem believes vaccination is the best way to reduce the spread of COVID-19 and protect our members, our communities, our families and ourselves. To minimize the risk of transmission of the COVID-19 virus and maintain a safe and healthy workplace, vaccination is required for this role. (At Anthem, fully vaccinated means it has been at least two weeks since you have received the second dose of a two-dose vaccine such as Moderna or Pfizer, or the single dose of a single dose vaccine, such as Johnson & Johnson). If you do not meet the requirements for this position, we encourage you to review other positions that currently allow virtual work. If you have a medical or sincerely held religious reason for not being vaccinated, consistent with applicable law, Anthem will consider requests for reasonable accommodation on this basis. Should you have any questions regarding the requirement after applying, email [email protected] * Requires a BA/BS in a health related field preferred; or any combination of education and experience, which would provide an equivalent background. * Minimum of 1 year of experience working directly with people related to the Behavioral Health population or other related community based organizations * Specific education and years and type of experience may be required based upon state law and contract requirements. * Travel is required up to 75%. * For MMP, requires Community Health Worker certification to be obtained within one year of employment. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions. Anthem, Inc. Little Rock AR

Care Coordinator Phillips County

Centene Corporation