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. ***HYBRID POSITION – Long Island City, NY***. Position Purpose:. Value-based care is the leading strategy in healthcare transformation aimed at improving positive health outcomes, advancing quality and ensuring equity in healthcare delivery today. As a Provider Engagement Analyst of Value Based Payments, you will assis... view job details
Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources. Provide assistance to members and/or providers regarding website registration and navigation. Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application. Process written customer correspondence and provide the appropriate level of ti... view job details
Position Purpose:. The HARP Service Coordinator provides administrative and non-clinical member service support for members of the HealthierLife plan. The HARP Service Coordinator provides front-line response to members and providers requesting information on or access to Behavioral Health services. The position facilitates access, for clinical case management staff, to non-emergency care and triage requests as well as urgent and emergency care requests. Coordination and Documentation: Coordinates services and care related to HARP members, including scheduling appointments for Members, arrangi... view job details
Position Purpose:. The HARP Service Coordinator provides administrative and non-clinical member service support for members of the HealthierLife plan. The HARP Service Coordinator provides front-line response to members and providers requesting information on or access to Behavioral Health services. The position facilitates access, for clinical case management staff, to non-emergency care and triage requests as well as urgent and emergency care requests. Coordination and Documentation: Coordinates services and care related to HARP members, including scheduling appointments for Members, arrangi... view job details
Position Purpose: The HARP Service Coordinator provides administrative and non-clinical member service support for members of the HealthierLife plan. The HARP Service Coordinator provides front-line response to members and providers requesting information on or access to Behavioral Health services. The position facilitates access, for clinical case management staff, to non-emergency care and triage requests as well as urgent and emergency care requests. Coordination and Documentation: Coordinates services and care related to HARP members, including scheduling appointments for Members, arrangin... view job details
You could be the one who changes everything for our 26 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. Position Purpose: Perform work associated with promoting and restoring the health of Health and Recovery Plan (HARP) members by identifying member care requirements, documenting, and ensuring maximal access to high quality care across the continuum. Collaborate with Member, Health Homes, physicians, other interdiscipli... view job details
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Develop, assess and adjust, as necessary, the care plan and promote desired outcome. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options. Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as nec... view job details
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Develop, assess and adjust, as necessary, the care plan and promote desired outcome. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options. Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as nec... view job details
Position Purpose: Perform work associated with promoting and restoring the health of Health and Recovery Plan (HARP) members by identifying member care requirements, documenting, and ensuring maximal access to high quality care across the continuum. Collaborate with Member, Health Homes, physicians, other interdisciplinary team members, and family members and/or supportive others to support and sustain the Member’s wellness and recovery goals. Follows best practice and clinical standards, and adheres to departmental and State guidelines. Mental Health/Chemical Dependency: Utilize expertise of ... view job details
You could be the one who changes everything for our 26 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. Position Purpose:. The Child Advocate provides administrative and clinical linkage support for Children’s Medicaid Managed Care members, caregivers/legal guardians and families. The Child Advocate provides front-line response to members and providers requesting information on or access to State Plan and Childr... view job details