Position Purpose: Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management issues related to members or providers.
Key Details: This is a remote position; however, the associate will maintain a small member caseload within an assigned southwest and south-central Iowa territory. Regular travel throughout the service area is required to conduct in-person member visits, assessments, and care coordination activities.
- Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements
- Assigns caseloads and work assignments to long-term care management team based on state requirements, care management staff experience, and member needs
- Works with long-term care senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns
- Educates and provides resources for long-term care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers
- Evaluates long-term care management team performance and provides feedback regarding performance, goals, and career milestones
- Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care
- Assists with onboarding, hiring, and training long-term care management team members
- Leads and champions change within scope of responsibility
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience: Requires a Bachelor's degree and 4+ years of related experience.
For Iowa Only: Bachelors degree required and 4+ years experience with populations served; or RN with 6+ years of experience with population served.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
License/Certification:
- For Iowa Plan Only: Bachelor's degree required and 4+ years of experience with populations served, or RN with 6+ years of experience with population served required
Pay Range: $75,300.00 - $135,400.00 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
