You could be the one who changes everything for our 26 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.

PLEASE NOTE: This is a hybrid role for Illinois-based applicants that reside in the following counties in southern Illinois: Bond, Clinton, Fayette, Jefferson, Madison, Marion, Monroe, Perry, Randolph, St. Clair or Washington (near Illinois cities: Greenville, Carlyle, Brownstown, Mt Vernon, Edwardsville, Salem, Burksville, Pinckneyville, Sparta, Belleville or Hoyleton). This role may involve up to 25% travel in the future and provides care coordination services to DCFS Youth in Care and Former Youth in Care, 0-21. A face-to-face would occur if it is at the request of a care giver or DCFS care worker or in the event of multiple crises.

Position Purpose: Conduct screening and risk assessment interventions per program guidelines. Assist with aspects of the member’s care, including referrals to community resources.

• Identify special needs members through the completion of health screens and other resources
• Work with community outreach/member advocates to coordinate member care
• Educate providers and community resources on program components and available support services
• Educate members with special needs to foster compliance with program and positively impact outcomes
• Conduct site visits as appropriate for programs and provide support to other special programs
• Develop and modify care plans in conjunction with member, member’s family and managing physician
• Development of plan specific literature and education materials in conjunction with medical director and corporate oversight

Education/Experience: Bachelor’s degree in Social Work, Nursing, Health, Behavioral Science or Equivalent Experience. 2+ years of experience managing and integrating the social/community needs of members. Experience in a managed care environment preferred.

License/Certification: Valid driver’s license, except not required for Indiana. RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), Occupational Therapy (OT), Physical Therapy (PT), or LVN (Licensed Vocational Nurse) preferred.

For Illinois YouthCare plan only: Candidates are required to live within the specified region.

• Department: Youth Care / Care Management
• Territory: Within the following counties in southern Illinois: Bond, Clinton, Fayette, Jefferson, Madison, Marion, Monroe, Perry, Randolph, St. Clair or Washington (near Illinois cities: Greenville, Carlyle, Brownstown, Mt Vernon, Edwardsville, Salem, Burksville, Pinckneyville, Sparta, Belleville or Hoyleton)

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.