Company
Centene Corporation
Description
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.
THIS POSITION IS REMOTE/WORK FROM HOME WITH APPROX. 25% TRAVEL IN ASSIGNED TERRITORY WITH MILEAGE REIMBURSEMENT AT THE CURRENT IRS GUIDELINE RATE ROUND TRIP.
APPLICANTS MUST RESIDE IN ONE OF THE FOLLOWING IL COUNTIES
Alexander, Edwards, Franklin, Galatin, Hamilton, Hardin, Jackson, Johnson, Massac, Pope, Pulaski, Saline, Union, Wabash, Wayne, White, Williamson.
THIS ROLE IS FOR IL YOUTHCARE/FOSTER CARE PROGRAM.
Position Purpose Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
Develop, assess and adjust, as necessary, the care plan and promote desired outcome
Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
Provide patient and provider education
Facilitate member access to community based services
Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
Actively participate in integrated team care management rounds
Identify related risk management quality concerns and report these scenarios to the appropriate resources
Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
Supporting IL Youthcare Program with 25% travel to visit members in foster homes, residential facilities, hospitals, etc.
Education/Experience Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care or child welfare preferred.
Licenses/Certifications Current state’s RN license.
For Illinois Youth Care contract Required Education/Experience – Bachelor’s Degree in nursing and RN licensure required. One year of clinical experience required. For Illinois YouthCare plan only Candidates are required to live within the specified region.
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.
THIS POSITION IS REMOTE/WORK FROM HOME WITH APPROX. 25% TRAVEL IN ASSIGNED TERRITORY WITH MILEAGE REIMBURSEMENT AT THE CURRENT IRS GUIDELINE RATE ROUND TRIP.
APPLICANTS MUST RESIDE IN ONE OF THE FOLLOWING IL COUNTIES
Alexander, Edwards, Franklin, Galatin, Hamilton, Hardin, Jackson, Johnson, Massac, Pope, Pulaski, Saline, Union, Wabash, Wayne, White, Williamson.
THIS ROLE IS FOR IL YOUTHCARE/FOSTER CARE PROGRAM.
Position Purpose Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
Develop, assess and adjust, as necessary, the care plan and promote desired outcome
Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
Provide patient and provider education
Facilitate member access to community based services
Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
Actively participate in integrated team care management rounds
Identify related risk management quality concerns and report these scenarios to the appropriate resources
Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
Supporting IL Youthcare Program with 25% travel to visit members in foster homes, residential facilities, hospitals, etc.
Education/Experience Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care or child welfare preferred.
Licenses/Certifications Current state’s RN license.
For Illinois Youth Care contract Required Education/Experience – Bachelor’s Degree in nursing and RN licensure required. One year of clinical experience required. For Illinois YouthCare plan only Candidates are required to live within the specified region.
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.
Identifier
c05e0492898309f0bd6b3855eb562a22
Show More
Ready to join the team? We'd love to have you!