- Must reside in Gloucester, Salem, Cumberland, and/or Cape May 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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Long Term Care Enrollment Specialist Gloucester, Salem, Cumberland, and/or Cape May County NJ - 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.
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.
