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.
- Conducts outreach to state-appointed guardians to obtain and review state-approved service plan, ensuring alignment with care management requirements and identification of member needs.
- Functions as a liaison and advocate between the member, state guardian, providers, and community-based organizations to support coordination of services and access to care.
- Completes comprehensive assessments and develops individualized, person-centered care plans that incorporate medical, behavioral health, and social determinants of health needs.
- Collaborates with the interdisciplinary care team, including providers and community resources, to implement, monitor, and adjust care plans based on member needs and outcomes.
- Facilitates care team meetings, as appropriate, to review progress toward goals, update care plans, and ensure alignment with the state-approved service plan.
- Monitors care plan implementation and member progress, identifying barriers to care and coordinating interventions to support goal attainment.
- Assists members and guardians with accessing benefits and community resources, particularly when existing benefits are exhausted or unavailable, to address unmet needs.
- Monitors and evaluates care plan implementation, utilization, and member outcomes to ensure effective care management, support regulatory reporting, and drive quality improvement
- Collecting and documenting all member information to ensure compliance with current state, federal, and third party payer regulations and contractual requirements.
- Performs other duties as assigned.
- Complies with all policies and standards.
Requires a Master's degree in behavioral health or social work, or a Degree from an Accredited School of Nursing, and 2 – 4 years of related experience. Guardianship experience preferred. License/Certification: One of the following is required: Licensed Master's Behavioral Health Professional (e.g., CSW, LCSW, LMSW, LPCC, LPC) or RN based on state contract requirements with behavioral health experience required.Pay Range: $27.02 - $48.55 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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
