Description
Position Purpose: Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management issues related to members or providers.
Key Details: This is a remote position; however, the associate will maintain a small member caseload within an assigned southwest and south-central Iowa territory. Regular travel throughout the service area is required to conduct in-person member visits, assessments, and care coordination activities.
- Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements
- Assigns caseloads and work assignments to long-term care management team based on state requirements, care management staff experience, and member needs
- Works with long-term care senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns
- Educates and provides resources for long-term care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers
- Evaluates long-term care management team performance and provides feedback regarding performance, goals, and career milestones
- Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care
- Assists with onboarding, hiring, and training long-term care management team members
- Leads and champions change within scope of responsibility
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience: Requires a Bachelor's degree and 4+ years of related experience.
For Iowa Only: Bachelors degree required and 4+ years experience with populations served; or RN with 6+ years of experience with population served.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
License/Certification:
- For Iowa Plan Only: Bachelor's degree required and 4+ years of experience with populations served, or RN with 6+ years of experience with population served required
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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
