Position Purpose:
Perform care coordination function for members with behavioral health and medical concerns
- Ensure effective care coordination from one level of care to another.
- Work with providers and care teams to provide collaborative care coordination focused on the member’s needs and ensuring the member receives appropriate referrals.
- Ensure provider services are delivered without gaps and identify functional deficiencies in care coordination.
- Coordinate and monitor community based services for members not covered by Medicaid.
- Assist with provision of Medicare & Medicaid coverage and services.
- Actively participate on Integrated Care Teams.
- Perform health screenings with members to determine care coordination needs or potential for care management referrals.
Education/Experience:
Graduate from an Accredited School of Nursing (RN or Practical Nursing), Bachelor’s degree in Social Work, Counseling, Healthcare or related field preferred. A minimum of 3 years of medical or behavioral health or utilization care coordination experience required.
For Arizona Complete Health – Complete Care Plan:
Obstetrics (OB) assignments requires experience in OB (clinical, acute care, community)
Pediatric assignments requires experience in pediatrics (clinical, acute care, community)
For Tailored Plans Carolina Complete Health plan only: Bachelor’s degree required and 3 years of relevant experience.
Clipped from: https://jobs.centene.com/us/en/job/1336378/Integrated-Care-Manager?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic