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- Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
- Provide patient and provider education
- Facilitate member access to community based services
- Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
- Actively participate in integrated team care management rounds
- Identify related risk management quality concerns and report these scenarios to the appropriate resources
- Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
Approx. 25% travel to perform home visits to members 1 x 30 days or 1 x 90 days based on the waiver program they are in.
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Care Manager I - Hull, IL, United States - Meridian Illinois
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.
THIS POSITION IS REMOTE/WORK FROM HOME. QUALIFIED APPLICANTS MUST RESIDE IN ONE OF THE FOLLOWING IL COUNTIES: Kankakee, Ford, Iroquois, Livingston (zip codes: 60461, 60475, 60409, 60438, 60453, 60454, 60482, 60628, 60643, 60827, 60422, 60425, 60430,
THIS ROLE IS SUPPORTING THE YOUTHCARE/FOSTER CARE PROGRAM AND REQUIRES A BSN RN LICENSURE. MUST BE ABLE TO TRAVEL APPROXIMATELY 25% OF THE TIME IN THE ASSIGNED COUNTIES.
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
Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.
For Illinois Youth Care contract: Required Education/Experience – Bachelor's Degree in nursing and RN licensure required. One year of clinical experience required. For Illinois YouthCare plan only: Candidates are required to live within the specified region.
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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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.
