Identify special needs members through the completion of health screens and other resources
Work with community outreach/member advocates to coordinate member care
Educate providers and community resources on program components and available support services
Educate members with special needs to foster compliance with program and positively impact outcomes
Conduct site visits as appropriate for programs and provide support to other special programs
Develop and modify care plans in conjunction with member, member's family and managing physician
Development of plan specific literature and education materials in conjunction with medical director and corporate oversight
Conduct screening and risk assessment interventions per program guidelines. Act as primary liaison for members and staff. Assist with non medical aspects of the member's care, including referrals to community resources.
Bachelor's degree in Social Work, Nursing, Health, Behavioral Science or equivalent experience. Master's degree in Social Work preferred. 4 years of community experience in directly managing and integrating the social/community needs of the members. Experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic and complex conditions.
Valid driver's license, except not required for Indiana. RN (Registered Nurse), LCSW (Licensed Certified Social Worker) 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.