Clinical Care Specialist
4 weeks ago
Job Summary: We are seeking a skilled Clinical Care Specialist to join our Medical Management/Health Services team. As a Clinical Care Specialist, you will play a critical role in ensuring our members receive the necessary services to achieve optimal health outcomes.
Key Responsibilities:
- Conduct thorough assessments with members, caregivers, or providers to identify client status, support systems, and service needs.
- Monitor service delivery and follow up with members, caregivers, or providers through in-person visits and telephonic contact.
- Authorize and coordinate referrals for services to ensure seamless care coordination.
- Collaborate with discharge planners, physicians, and other stakeholders to ensure effective discharge plans and care coordination.
- Assist members with filing and resolving complaints and appeals.
Requirements:
- 3+ years of care management experience, preferably in home health, discharge planning, or long-term care.
- Valid driver's license and NYS RN license required.
What We Offer:
- Competitive pay, ranging from $33.13 to $59.74 hourly.
- A comprehensive benefits package, including health insurance, 401K, and stock purchase plans.
- Tuition reimbursement, paid time off, and a flexible work schedule.
About Centene Corporation:
Centene Corporation is a diversified, national organization committed to diversity and equal opportunity employment. We value the unique perspectives and experiences of our employees and strive to create an inclusive work environment.
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