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.

　　PLEASE NOTE: This is a hybrid-remote role with 50% travel into member homes within Lake and McHenry County, Illinois (nearby cities include: McHenry, Round Lake or Wonder Lake, IL). We are seeking applicants who reside in this area.

　　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

　　Education/Experience: Bachelor’s degree or Registered Nurse License and 2+ years of care management experience, Licensed Practical Nurse and 4+ years of care management experience, or 6+ years of care management experience. Home health, discharge planning, or long term care experience preferred.

　　Licenses/Certifications: Valid driver's license. LPN or RN preferred.

　　For Illinois Plan Only: In addition to the requirements above the employee working on

　　Physically Disabled/Elderly:

　　Candidate must meet one of the 3 following criteria:

　　RN licensed in Illinois.Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as: Child, Family and Community Services, Early Child Development, Guidance and Counseling, Home Economics- Child and Family Services, Human Development Counseling, Human Service Administration, Human Services, Master of Divinity, Pastoral Care, Pastoral Counseling, Psychiatric Nursing, Psychiatry, Psychology, Public Administration, Rehabilitation Counseling, Social Science, Social Services/Social Work or Sociology.LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderlyAdditional Details:

　　• Department: Long Term Care // MED-Case Management

　　• Caseload: Elderly and Physical Disability waiver members over 18 years old

　　• Territory: Lake and McHenry County (Cities: Ringwood, Round Lake, Round Lake Beach, Round Lake Heights, Round Lake Park, Wonder Lake, McHenry* area). Work-from-home case management role with local in-home visits. Must reside in or be willing to relocate to the above mentioned area.

　　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.