Total Quality Administrator jobs in Pine Bluff, AR

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: Provide specialty service care coordination to beneficiaries. Ensure appropriate services are delivered by specialty providers and ensure continuity of care across services. Responsible for the total care plan, encompassing all services and plans related to beneficiaries. Provide case management complying with Conflict Free Case Management rules.

Seeking a Care Coordinator, Independence County, Arkansas.
Hybrid Role: Remote with quarterly in person visits to members.Provide health education and coaching to members tailored to issues identified within treatment and service plans
Coordinate with various healthcare providers for diagnostics, ambulatory care, and hospital services
Assist members with social determinants of health including access to exercise and healthy food
Promote activities focused on the health of a patient and their community, including without limitation outreach, quality improvement, and patient panel management
Coordinate community-based management of medication therapy
Waiver experience preferred. Previous Care Coordinator experience with DD members.

Education/Experience:
High school diploma or equivalent. Bachelor’s degree in social science or health-related field or 1 years of experience caring for developmentally or intellectually disabled or behavioral health clients.

License/Certification: Valid driver's license and automobile insurance.

For Arkansas Total Care Plan: Have a bachelor's degree in a social science/health-related field or have a high school diploma and at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas.
 

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.