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.
Must reside in the state of New Jersey.
Position Purpose: Manages community and resource coordination activities to ensure members are being connected to local resources and care management and are being supported throughout care. Manages community and resource coordination team members and escalated issues related to members.
- Manages and reviews all community and resource coordination activities including member outreach and ensuring members are connected to local resources throughout care
- Oversees and approves community and resource coordination tasks to the team based on state and contractual requirements and member needs
- Partners with community and resource coordination and care management team leaders to ensure effective, appropriate care of the member and addressing member needs
- Ensures compliance with state and regulatory guidelines and standards
- Sets goals and objectives for community and resource coordination team to achieve a more effective high-quality care across services
- Works with care management senior management to provide updates and insights on community and resource support coordination team goals
- Provides feedback to community and resource coordination team to improve community resources, outreach services and connecting members to community resources to provide necessary care in a cost-effective manner
- Educates and provides guidance and/or resources for community and resource coordination team to address member and/or provider issues and concerns
- Assists community and resource coordination and care management senior leadership with onboarding, hiring, and training community and resource coordination team members
- Ensures adherence to service level, quality and KPI expectations
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Requires a Bachelor's degree and 5+ years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Pay Range: $73,800.00 - $132,700.00 per year
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. Total compensation may also include additional forms of incentives.
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
What We Do
Centene provides healthcare solutions to individuals across the United States with more than 23 million members nationwide.
