Job Description
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:** Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines. **(Must reside MST).**
+ Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service
+ Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
+ May apply working knowledge of assigned health plan(s) activities and resources
+ Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols
+ Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship
+ Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed
+ Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** Requires a High School diploma or GED
Requires 1 - 2 years of related experience
Pay Range: $17.50 - $27.50 per hour
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.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Job Tags
Hourly pay, Holiday work, Remote job, Flexible hours,
Similar Jobs
Get It - Executive
...Representative We're seeking experienced Travel Agents and Customer Service Representatives to join our team and work from the comfort of your own home! In this role, you'll assist customers with booking travel arrangements and provide top-notch support, ensuring a...
Kelly Anderson Group
Class A Class A CDL Team Drivers F333 JobTo Qualify:Class A CDL.1 Year of Tractor-Trailer Experience in the last 3 years or 5 within... ...the last 10 years.OR, if you have a recent certificate from a FedEx approved trucking school plus 6 months of driving experience....
Willamette Valley Vineyards
Are you passionate about cooking, food, and wine? Do you thrive in a fast-paced kitchen environment? Willamette Valley Vineyards is seeking a talented and experienced Line Cook to join our kitchen operations on the beautiful Vancouver Waterfront. Join us and become a part...
Diehl Collision of Washington
...while keeping on-time status in mind.* Makes decisions on repair vs. replace considering safety, cost and cycle time.* Removes upholstery, accessories, electrical and hydraulic window operating equipment, and trim to gain access to vehicle and fenders.*...
Prompt Recruiting
...BCBA (Hybrid/Remote) Phoenix, AZ Are you a BCBAthat has a passion for serving... ...across multiple settings including group homes, schools and centers. Manage and train... ...treatment plans. Provide parent coaching and work with other disciplines including Speech...