Managed Care Coordinator

2 months ago

Wichita, United States Sunflower Health Plan Full time

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.

** Candidates for this role must reside in the state of Kansas. This position offers the flexibility of working from home along with up to 50% local travel conducting field work (in-home visits).**

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.

  • Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
  • Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
  • Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
  • Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
  • Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
  • Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
  • Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
  • May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners
  • Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
  • Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience: Requires a Bachelor's degree and 2 - 4 years of related experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Pay Range: $25.97 - $46.68 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.

  • LTSS Care Coordinator

    6 days ago

    Wichita, Kansas, United States Elevance Health Full time

    Position Title:LTSS Care Coordinator - ClinicianJob Overview:The LTSS Care Coordinator plays a vital role in the healthcare continuum, operating under the guidance of a Registered Nurse (RN). This position is primarily field-based, requiring travel within the designated service area.Key Responsibilities:Collaborate with the RN to identify members at risk for...

  • One Care of Kansas Coordinator

    3 weeks ago

    Wichita, United States HealthCore Clinic Full time

    Job DescriptionJob DescriptionOneCare Kansas CoordinatorAt HealthCore Clinic, we pride ourselves on being a premier medical employer and learning institution for individuals willing to serve the underinsured. Our “You-Centered” approach to healthcare for our clients only works because we employ, train and retain the best of the best. At Healthcore...

  • Behavioral Health Care Coordinator

    2 days ago

    Wichita, Kansas, United States UnitedHealth Group Full time

    About the RoleAt UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Behavioral Health Care Coordinator, you'll play a critical role in delivering care management services to our members, including coordination of care and behavioral health consulting.Key...

  • Behavioral Health Care Coordinator

    3 hours ago

    Wichita, Kansas, United States UnitedHealth Group Full time

    About the RoleAt UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Behavioral Health Care Coordinator, you'll play a critical role in delivering care management services to our members, including coordination of care and behavioral health consulting.Key...

  • LPN Patient Care Coordinator

    5 days ago

    Wichita, Kansas, United States KU Wichita Medical Practice Association Full time

    Position Overview:The KU Wichita Medical Practice Association is in search of a committed individual to enhance our Internal Medicine Department. In this pivotal role, you will contribute to delivering exceptional, patient-focused care in collaboration with our Physicians and Residents. Your key duties will encompass addressing patient communications,...

  • LPN Patient Care Coordinator

    6 days ago

    Wichita, Kansas, United States KU Wichita Medical Practice Association Full time

    Position Overview:The KU Wichita Medical Practice Association is in search of a committed individual to enhance our Internal Medicine Department. In this role, you will be integral in delivering exceptional, patient-focused care in collaboration with Physicians and Residents. Your main duties will encompass addressing patient communications, facilitating...

  • Behavioral Health Care Coordinator

    2 days ago

    Wichita, Kansas, United States UnitedHealth Group Full time

    About the RoleAt UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Behavioral Health Care Coordinator, you'll play a critical role in delivering care management services to members, including coordination of care and behavioral health consulting.Key ResponsibilitiesProvide...

  • LPN Patient Care Coordinator

    5 days ago

    Wichita, Kansas, United States KU Wichita Medical Practice Association Full time

    Position Overview:The KU Wichita Medical Practice Association is in search of a committed professional to enhance our Internal Medicine Department. In this role, you will be integral in delivering exceptional, patient-focused healthcare in collaboration with Physicians and Residents. Your main duties will encompass addressing patient communications,...

  • 1054 Care Coordinator

    1 month ago

    Wichita Falls, United States Helen Farabee Center Full time

    Job DetailsJob LocationWichita County MHC - Wichita Falls, TXPosition TypeFull TimeEducation LevelBachelor/Master'sSalary Range$17.94 - $18.53 HourlyTravel PercentageUp to 25%Job Shift8-5 M-F may varyJob CategoryHealth CareDescriptionUnder the general supervision of the Adult Behavioral Health Director, the Care Coordinator's primary responsibilities include...

  • Social Worker Care Manager

    3 weeks ago

    Wichita, United States Ennoble Care Full time

    Job DescriptionJob DescriptionAbout UsEnnoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care...

  • Social Worker Care Manager

    1 month ago

    Wichita, United States Ennoble Care Full time

    Job DescriptionJob DescriptionAbout UsEnnoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care...

  • Patient Care Coordinator

    6 days ago

    Wichita Falls, Texas, United States A-Line Staffing Solutions Full time

    Job OverviewA-Line Staffing Solutions is seeking a Patient Care Coordinator.Position Summary:The Patient Care Coordinator plays a crucial role in managing patient care by utilizing comprehensive evaluation techniques to assess individual needs and eligibility. This position is integral in recommending effective strategies for case resolution while...

  • Case Manager

    6 days ago

    Wichita, United States Elevance Health Full time

    **Location:** Field associates spend 4-5 days per week in-person with patients, members or providers. The **LTSS SERVICE COORDINATOR** is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. In collaboration with the person supported, facilitates the Person Centered Planning process that...

  • 1054 Care Coordinator

    1 month ago

    Wichita Falls, United States Helen Farabee Center Full time

    Job DetailsJob Location Wichita County MHC - Wichita Falls, TX Position Type Full Time Education Level Bachelor/Master's Salary Range $17.94 - $18.53 Hourly Travel Percentage Up to 25% Job Shift 8-5 M-F may vary Job Category Health Care Description Under the general supervision of the Adult Behavioral Health Director, the Care Coordinator's primary...

  • Case Manager

    4 days ago

    Wichita, United States Elevance Health Full time

    Anticipated End Date:2024-10-30Position Title:Case Manager (LTSS Service Coordinator)Job Description:Location: Field associates spend 4-5 days per week in-person with patients, members or providers.The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. In...

  • Case Manager

    23 hours ago

    Wichita, United States Elevance Health Full time

    Anticipated End Date: 2024-10-30 Position Title: Case Manager (LTSS Service Coordinator) Job Description: Location: Field associates spend 4-5 days per week in-person with patients, members or providers. The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. In...

  • OCK Care Manager

    3 months ago

    Wichita, United States Mental Health America of South Central Kansas Full time

    Job DescriptionJob DescriptionDescription:Overview: The Care Manager will work with the One Care Kansas (OCK) Team, Adult and Children’s Case Management, and Counseling Center staff to recruit, enroll and coordinate cases for OCK. The Care Manager is responsible for coordination of physical and behavioral health services and supports, with emphasis on...

  • Stock Management Coordinator

    5 days ago

    Wichita, Kansas, United States petland wichita Full time

    Stock Management CoordinatorPetland Wichita is seeking a dedicated Stock Management Coordinator to enhance our operational efficiency. In this role, you will oversee stock management, process incoming shipments, and ensure precise inventory documentation.Key Responsibilities:Oversee and adjust stock levels to align with customer needsProcure inventory to...

  • Long Term Care Coordinator I

    2 months ago

    Wichita, United States Centene Corporation Full time

    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, youll have access to competitive benefits including a fresh perspective on workplace flexibility. **** Candidates for this role must reside in the state of Kansas. This...

  • Long Term Care Coordinator I

    2 days ago

    wichita, United States Sunflower Health Plan Full time

    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. ** Candidates for this role must reside in the state of Kansas. This...