Provide support to medical, behavioral and social support staff to determine needs, eligibility and services for members. Conduct screening and risk assessment interventions per program guidelines.
- 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.
- Assist with modification and management of care plans under the direction of a Registered Nurse in conjunction with member, medical consenter, caregiver, caseworker and family, if applicable, as well as the managing physician.
Education/Experience: Bachelor’s degree in Social Work, Health Services, Behavioral Science, or related field, or equivalent experience. 2+ years of experience in a managed care environment or working with people who have disabilities and/or with vulnerable populations who have chronic or complex conditions. Other state specific requirements may apply.
Licenses/Certifications: LPN, LVN or LCSW is preferred,but not required.
Preferred Experience: Experience providing health assessments, working in a physician’s office, social services, healthcare, or managed care setting. Outbound call center experience within health insurance or healthcare setting is preferred. Professional phone etiquette and listening skills is required. Proficient computer skills and experience working within large databases and/or provider information systems and Microsoft Office applications.
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.
Source: Indeed.com
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