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Centene Corporation
Centene Corporation
DraudimasKonsultavimasSveikatos priežiūra
„Centene Corporation“ yra sveikatos priežiūros ir draudimo bendrovė, daugiausia dėmesio skirianti valstybės remiamam draudimui ir bendruomenių sveikatai. Jos paslaugos apima „Medicaid“, „Medicare“, „Health Insurance Marketplace“ planus ir TRICARE paramą kariuomenės bendruomenėms. „Centene“ derina vietos lygmeniu teikiamą priežiūrą su partneryste su ne pelno organizacijomis, kad patenkintų aptarnaujamų narių poreikius. Vykdydama veiklą ir remdama bendruomenes, bendrovė taip pat atsižvelgia į aplinkosaugą ir etišką valdymą.
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Care Management Support Coordinator IV Team Lead - Texas Remote

Lead administrative care management support for Centene members in Texas, coordinating outreach, scheduling, resources, and documentation. Serve as a senior point of contact for members, providers, and staff while guiding team operations.

USJungtinės ValstijosTXTeksasas
22 $ – 38 $ / valanda
NuotolinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųBendraPriežiūros koordinatorius
Debesija

Aprašymas

  • Direct administrative care management functions, including member outreach, inbound calls, and service scheduling
  • Act as a primary contact for members, providers, and staff regarding care plan questions, while maintaining accurate records
  • Conduct phone outreach to explain care plan next steps, answer scheduling questions, share resources, and provide ongoing education
  • Help members access health plan and community-based resources
  • Use advanced knowledge of assigned health plan programs, activities, and available resources
  • Handle complex member and provider questions, requests, and concerns as a frontline support resource
  • Recommend improvements to care management processes
  • Apply advanced expertise in care management support, care plans, and community resources
  • Onboard team members and manage daily administrative materials, including welcome letters, correspondence, and educational content
  • Refer highly complex inquiries and requests to management
  • Maintain non-clinical member documentation in compliance with state and regulatory standards
  • Support education and training initiatives
  • Complete additional assigned responsibilities while following organizational policies and standards

Reikalavimai

  • High school diploma or GED
  • At least four years of related professional experience
  • Successful completion of a Texas DFPS background check
  • At least two years of care coordination experience serving diverse populations, including children, adolescents, adults, and older adults
  • Experience with or working knowledge of PSON and MNSF workflow processes
  • At least two years of experience with STAR Health, STAR Kids, STAR+PLUS, Duals, Medicaid, and/or Medicare programs
  • Strong documentation abilities with demonstrated audit performance in TruCare Cloud
  • Professional, diplomatic, adaptable, and detail-oriented approach in a fast-paced setting
  • Proficiency in Microsoft Office, including Excel, OneNote, PowerPoint, and Outlook
  • Strong problem-solving, organizational, time-management, and communication abilities
  • Ability to adjust quickly to shifting business priorities while remaining flexible and professional
  • Ability to clearly present data, findings, and recommendations to cross-functional stakeholders

Privalumai

  • Health insurance coverage
  • 401(k) plan
  • Employee stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible remote, hybrid, field, or office work arrangements
  • Additional incentives may form part of total compensation
  • Equal opportunity employment with a commitment to diversity

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USJungtinės ValstijosALAlabamaAZArizonaFLFloridaIDAidahasKSKanzasasMEMeinasMIMičiganasMSMisisipėMOMisūrisNMNaujoji MeksikaNCŠiaurės KarolinaOKOklahomaPAPensilvanijaSCPietų KarolinaTNTenesisTXTeksasasVAVirdžinijaWVVakarų VirdžinijaWIViskonsinasNuotolinisVisas etatasJaunesnysis specialistasVidutinis lygisPrivaloma Kalba: anglųĮdarbinimas

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USJungtinės ValstijosNJNaujasis Džersis
120 000 $ – 165 000 $ / metai
Darbas vietojeVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųVadovas

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