Program Specialist I

4 weeks ago

Springfield, Illinois, United States Centene Corporation Full time

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.

****NOTE: This is a remote role provides care coordination services to DCFS Youth-In-Care and Former Youth-In-Care (ages 0-21) and has quarterly in-person team meetings in the territory listed below. Preference will be given to applicants with past experience working with traumatized/abused youth and/or DCFS and who reside in one of the following central eastern Illinois counties: Champaign, Clark, Coles, Cumberland, De Witt, Douglas, Edgar, Macon, Moultrie, Piatt, Shelby, Vermilion.****

Position Purpose: Conduct screening and risk assessment interventions per program guidelines. Assist with aspects of the member's care, including referrals to community resources.

  • Identify special needs members through the completion of health screens and other resources
  • Work with community outreach/member advocates to coordinate member care
  • Educate providers and community resources on program components and available support services
  • Educate members with special needs to foster compliance with program and positively impact outcomes
  • Conduct site visits as appropriate for programs and provide support to other special programs
  • Develop and modify care plans in conjunction with member, member's family and managing physician
  • Development of plan specific literature and education materials in conjunction with medical director and corporate oversight

Education/Experience: Bachelor's degree in Social Work, Nursing, Health, Behavioral Science or Equivalent Experience. 2+ years of experience managing and integrating the social/community needs of members. Experience in a managed care environment preferred.

License/Certification: Valid driver's license, except not required for Indiana. RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse) preferred.

For Illinois YouthCare plan only: Candidates are required to live within the specified region.

****Additional Details:

• Department: YouthCare / MED-Case Management

• Caseload: DCFS Youth-In-Care and Former Youth-In-Care (ages 0-21)


• Territory: the following central eastern Illinois counties: Champaign, Clark, Coles, Cumberland, De Witt, Douglas, Edgar, Macon, Moultrie, Piatt, Shelby, Vermilion ****

Pay Range: $ $38.07 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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