Manager, Care Coordination

Centene Corporation · United States

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. - Location: Remote – Georgia - Residency Requirement: Candidates must reside in Georgia

• Team/Program: Care Coordination Unit – Non-Clinical Care Coordination Team
• Schedule: Monday–Friday
• Hours: 8:00 a.m.–5:00 p.m. Eastern Time
• In-Office Requirements: Recurring meetings every other month and quarterly goal-review meetings
• Preferred Experience: Strong call center experience
• Leadership Experience: Demonstrated people leadership and team-development skills

• Monitors and reviews member support care coordination activities including transition of care to ensure appropriate services are delivered by providers and ensure continuity of care across services
• Oversees and approves assigned caseloads of care coordination team based on state and contractual requirements and member needs
• Partners with care coordination management team leaders to ensure effective, appropriate care of the member, addressing member needs, and continuity of care
• Ensures standards of practice and policies are compliant with contractual requirements and regulatory guidelines and standards
• Sets goals and objectives for care coordination team to provide continuity of care across services
• Works with care coordination leadership to provide updates and insights on team goals
• Provides feedback to team and other stakeholders to improve services and continuity of care
• Educates and provides guidance and/or resources for care coordination team to address member and/or provider issues and concerns
• Assists care management senior leadership with onboarding, hiring, and training care coordination team members
• May manage telephonic (in-bound and/or out-bound), digital, home and/or other site outreach to assess member needs and collaborate with resources
• Manages and ensures adherence to service level, quality and KPI expectations
• Leads and champions change within scope of responsibility
• Performs other duties as assigned.
• Complies with all policies and standards.