- Must reside in Essex, Union, and/ or Somerset County, NJ
- Conduct home visit(s) to educate applicant, family and/or applicant's caregiver(s) or newly enrolled LTSS members on program benefits and design.
- Identify applicant's health needs and complete medical assessment of applicant.
- Utilize WellCare designated criteria along with clinical knowledge to develop personalized plan of care.
- Initiate direct communication with health care providers involved in the care of the applicant to obtain complete and accurate information needed to complete plan of care.
- Negotiate appropriate care plan based on health assessments with health care providers, member and caregiver.
- Collect information concerning eligibility, provider status, benefit coverage, and coordination of benefits.
- Input visit and assessment data into systems.
- Adhere to all HIPPA standards and confidentiality requirements.
- Transition member to assigned care manager as indicated via verbal communication.
- Performs other duties as assigned
- Valid Drivers license may be required
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Remote Veteran Enrollment Specialist
6 days ago
American Income Life AO - Wendy Hutton Hill, United StatesJob Description · Job DescriptionAre you passionate about our nation's veterans? · Are you ready to revolutionize your work-life balance while achieving remarkable success? · Join Our Team and Work Comfortably from Anywhere · Are you ready to embark on a transformative journey w ...
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Long Term Care Enrollment Specialist
3 weeks ago
Centene Corporation Trenton, United StatesYou 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. ...
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Enrollment Specialist
5 days ago
Trinity Health Philadelphia, United StatesEmployment Type: · Full timeShift: · Day Shift · Description: · Enrollment Specialist · Shift: Typical work schedule is Monday to Friday, 8 am to 5 pm with occasional evening or weekend hours required. · Status: Full time · Location: Mercy LIFE West Philadelphia · Incenti ...
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Enrollment Specialist
4 days ago
Trinity Health Philadelphia, United StatesEmployment Type: · Full time · Shift: · Day Shift · Description: · Enrollment Specialist · Shift: Typical work schedule is Monday to Friday, 8 am to 5 pm with occasional evening or weekend hours required. · Status: Full time · Location: Mercy LIFE West Philadelphia · Incentives: ...
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Centene Corporation Trenton, United StatesYou 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. ...
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Provider Enrollment Specialist
1 week ago
Global Force Philadelphia, United StatesProvider Enrollment Specialist · Location : Philadelphia PA 19113 · Contract: 3 months with possibility of extension · Under the direct supervision of the Provider Enrollment Supervisor, the Provider Enrollment Specialist is responsible for maintaining both participating and n ...
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Centene Corporation Trenton, United StatesYou 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. ...
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Centene Corporation Trenton, United StatesYou 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. ...
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Centene Corporation Trenton, United StatesYou 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. ...
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Centene Corporation Trenton, United StatesYou 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. ...
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Patient Enrollment Specialist
3 weeks ago
DM Clinical Research Philadelphia, United StatesJob Description · Job DescriptionPatient Enrollment Specialist (Onsite) The Patient Enrollment Specialist exhibits excellent verbal and written communication skills, will be detail oriented and organized, and will communicate with current and potential DM patients via phone, text ...
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Centene Corporation Trenton, United StatesYou 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. ...
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Centene Corporation Trenton, United StatesYou 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. ...
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Centene Corporation Trenton, United StatesYou 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. ...
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New Member Enrollment Specialist
2 weeks ago
AbsoluteCARE Inc Philadelphia, United States· Description: · AbsoluteCare offers concierge health services using a risk-bearing, PCP-driven care model. We treat the most clinically complex and vulnerable members of the communities we serve, many of whom suffer from behavioral health, substance use, and SDoH challenges. W ...
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New Member Enrollment Specialist
3 weeks ago
AbsoluteCare Philadelphia, United StatesDescription: · Absolute Care offers concierge health services using a risk-bearing, PCP-driven care model. We treat the most clinically complex and vulnerable members of the communities we serve, many of whom suffer from behavioral health, substance use, and SDoH challenges. We ...
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Bilingual Enrollment Support Specialist
1 week ago
Mastery Charter Camden, United States Part time**Bilingual Enrollment Support Specialist (Part-Time) - IMMEDIATE School Year** · Camden, NJ / Network Support External Strategy / Part-Time School Year **About Mastery:** We believe educational inequity is the most pressing social problem facing our country and the civil rights ...
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Centene Corporation Trenton, United StatesYou 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. ...
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Remote Veteran Enrollment Specialist
6 days ago
American Income Life AO - Wendy Hutton New Brunswick, United StatesJob Description · Job DescriptionAre you passionate about our nation's veterans? · Are you ready to revolutionize your work-life balance while achieving remarkable success? · Join Our Team and Work Comfortably from Anywhere · Are you ready to embark on a transformative journey w ...
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Apex Dynamics Trenton, United StatesThere are many reasons to collaborate with European Medical Consulting Adam. In the following section, you will see how you can benefit from our free services and save valuable time: · You will be informed about exclusive and unpublished job opportunities · You will be supported ...
Long Term Care Enrollment Specialist - Trenton, United States - Centene Corporation
Description
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.Additional Responsibilities:
Candidate Education: Required An Associate's Degree in Nursing
Preferred A Bachelor's Degree in Nursing or related field
Candidate Experience: Required 4+ years of experience in A clinical acute care setting, preferably in home health and/or geriatrics.
Required Other Current case management experience:
Preferred Other Public speaking and health education experience Licenses and Certifications: A license in one of the following is required: Required Licensed Registered Nurse (RN)
Pay Range:
$54, $97,100.00 per year
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.
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.
Long Term Care Enrollment Specialist professionals in Trenton
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Kerry Nulman
Lead generation/business development consultant