You could be the one who changes everything for our 28 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.

　　* Candidates for this hybrid remote role must be located in either Wyandotte or Johnson county in Kansas as the position requires approximately 75% local travel. Applicants have the flexibility to work remotely the remaining time .*

　　Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care plan development, assessment, and care coordination.

　　Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development

　　Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact

　　Authorize and coordinate referral for services

　　Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care

　　Assist in coordinating the development of informal or voluntary services to integrate into the member care plan

　　Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services

　　Assist member with filing and resolving complaints and appeals

　　Performs other duties as assigned

　　Complies with all policies and standards

　　For Kansas plan only:

　　Education/Experience:

　　Have at least a bachelor’s degree in social work, rehabilitation, nursing, psychology, special education, gerontology, or related health and human services area or be a Registered Nurse (RN). Full-time experience in the field may be substituted for the degree at a rate of 6 months of full-time experience for each missing semester of college. Experience with persons participating in HCBS waiver programs is preferred.

　　Licenses/Certifications: Valid driver's license.

　　Pay Range: $21.93 - $37.30 per hour

　　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 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.