You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Perform duties to assist in activities related to care management, care coordination, post-partum follow up, and wavier programs as assigned: i.e. Planning for Healthy Babies or Post-partum Wavier.

• Data enter assessments and complete member centric care plans
• Conduct telephonic outreach and or home visits to women that have delivered a baby, assess member’s risk and families for evaluation of needs in an effort to provide direction, develop care plans and support members in meeting desired goals.
• Identify social needs and provide appropriate community linkages
• Assist members with accessing needed services, recognize potentially serious problems to prevent poor health and social outcomes.
• Maintain integrity of PHI and working relationships with other departments
• Attend ongoing training and in-services as directed, and perform tasks necessary to promote member compliance such as verifying Medicaid eligibility, appointments, etc.
• Educate members on Plan and program benefits encouraging optimal appropriate utilization.
• Coordinates services with community based organizations, manage and attend community events as well as outreach meetings as directed to represent the plan
• Produces and mails routine letters and program educational materials.

Education/Experience: High school diploma or equivalent required. Associate degree in related filed preferred. 2 years of experience working with community agency providing services encompassing the basic competency areas of health care, managed care, member outreach (community resources, communication skills, individual and family advocacy, health education, services skills and responsibilities).

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.

Job Type: Full-time

Benefits:

• 401(k)
• Health insurance
• Paid time off
• Tuition reimbursement

Schedule:

• Day shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• community resource: 2 years (Preferred)
• managed care: 2 years (Preferred)

License/Certification:

• Driver's License (Preferred)

Willingness to travel:

• 75% (Preferred)

Work Location: On the road