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Member Connections Representative I (Abilene, TX)

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This job is available in 2 locations

Member Connections Representative I (Abilene, TX)

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Description

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.

This is a remote/work-from-home position with some local travel required in the Abilene, TX region up to 10%.

Position Purpose: Assist the health plan in establishing a presence in the community through home visits and community outreach.

  • Educate members on health care benefits through home visits and outreach
  • Assist members with activities related to accessing care
  • Document information and activities in applicable systems
  • Deliver Connections Plus® cell phones, teach and answer questions related to cell phone use and navigation
  • Coordinate and implement community events, including Start Smart Baby showers and Birthday Parties, school events, healthy life style events and various community initiatives
  • Schedule and complete home visits for noncompliance, benefits information, ED and readmission diversion and other high risk issues
  • Conduct targeted phone calls for compliance, HEDIS initiatives and health risk assessments
  • Follow-up with appropriate parties on status of high risk member referrals
  • Assist in finding and connecting members to community social services and agencies
  • Ability to travel throughout designated region

Education/Experience: High school diploma or equivalent experience. Bilingual ability preferred. 2+ years of social services, community outreach, or education experience.

License/Certification: Valid driver's license and automobile insurance. Some locations may require Community Health Worker certification, CPR certification, and/or bi-lingual.

Pay Range: $18.66 - $31.73 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.

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