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 hybrid role in the state of Ohio. Applicants should reside within the state and have an active RN license or be a Physician's Assistant.
This position will perform duties to conduct and manage the day-to-day operations of the maternal child health and EPSDT functions communicating with departmental and plan administrative staff to facilitate department functions. Position also has oversight of Quality-of-Care team and provides departmental communication of outcomes.
Position Purpose: Perform duties to conduct and manage the day-to-day operations of the maternal child health and EPSDT functions communicating with departmental and plan administrative staff to facilitate department functions.
- Ensure receipt of maternal and postpartum care and EPSDT services for members
- Promote preventative health strategies and educate members on family planning services
- Identify and coordinate assistance for identified member needs for maternal/child health and EPSDT
- Promote compliance with federal and state regulations and contractual agreements.
- Facilitate on-going communication between case management staff, members, contracted providers, and subsidiaries.
- Develop staff skills and competencies through training and experience.
License/Certification: Current state's RN license or Physician’s Assistant. Certified Professional in Health Quality (CPHQ) preferred.Pay Range: $86,000.00 - $154,700.00 per year
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
