Centene Corporation jobs

Behavioral Case Manager (Field)

Description: Position Purpose\: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members current functional level and, in collaboration with the member, develop and monitor the Case Management Care Plan, monitor quality of care; assisting with discharge plan...

Behavioral Case Mgr

Description: Position Purpose\: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members?? current functional level and, in collaboration with the member, develop and monitor the Case Management Care Plan, monitor quality of care; assisting with discharge pla...

Clinical Provider Trainer- Behavioral Health

Position Purpose: Develop and implement trainings to educate network providers and their staff on the company's clinical philosophy and evidence-based practice methods pertaining to long term care mental health. Collaborate with other staff, departments and health plan staff for maintaining and monitoring the delivery and effectiveness of the training program and identify solutions to challenges. Develop and provide formal provider staff training. Develop and maintain outreach program membe...

Membership Retention & Outreach Specialist

Position Purpose: The Membership Retention Specialist is responsible for activities related to strengthening customer relationships through member education relative to benefits and Plan usage and for local "high touch" outreach to improve membership retention of current and new Health Net Medicare Advantage, Part D members, CalMediConnect Members, etc. Responsibilities: Acts as local resource and member advocate for members, supplementing the service work performed by the Customer Contact...

Clinical Nurse Liaison (Field/Remote)

Description:Position Purpose/: Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teamsImplement and manage procedures for tracking, identifying and problem-solving operational issuesInterpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new productsAct as the clinical representative in various meetingsCollaborate with staff to identi...

Membership Retention & Outreach Specialist

Position Purpose: The Membership Retention Specialist is responsible for activities related to strengthening customer relationships through member education relative to benefits and Plan usage and for local "high touch" outreach to improve membership retention of current and new Health Net Medicare Advantage, Part D members, CalMediConnect Members, etc. Responsibilities: Acts as local resource and member advocate for members, supplementing the service work performed by the Customer Contact...

Behavioral Case Mgr (Inside Loop 1604)

Description: Position Purpose\\: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members current functional level and, in collaboration with the member, develop and monitor the Case Management Care Plan, monitor quality of care; assisting with discharge plan...

RN Supervisor, Case Management

Position Purpose: Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative staff to facilitate daily department functions. Assure compliance with established referral, pre-certification and authorization policies, procedures and processes by related Medical Services staff. Assure compliance with established onsite and concurrent review, case management, referral, pre-certification and authorization policies, procedures and proc...

RN Case Manager/Care Spec II (Non CA)

ProfessionalPosition Purpose: The Case Manager/Care Coordinator II is responsible for the coordination of services and cost effective management of health care resources to meet individual members' health care needs and promote positive health outcomes. Acts as a member advocate and a liaison between providers, members and HN to seamlessly integrate complex services. Case Management services are generally focused on members who fall into one or more high risk or high cost groups and require s...

RN Case Manager/Care Spec II (Non CA)

ProfessionalPosition Purpose: The Case Manager/Care Coordinator II is responsible for the coordination of services and cost effective management of health care resources to meet individual members' health care needs and promote positive health outcomes. Acts as a member advocate and a liaison between providers, members and HN to seamlessly integrate complex services. Case Management services are generally focused on members who fall into one or more high risk or high cost groups and require s...

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