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Nursing Home / Home Health Administrator
Salina, KS
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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. Candidates must reside in or near Northwest Kansas or the Sedgwick County region. This is a remote role requiring up to 75% travel. Experience working with foster care populations or child welfare systems is preferred
Position Purpose:
Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder. + Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs + May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources + Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders + Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members + Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs + Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services + Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs + Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for m To view full details and how to apply, please login or create a Job Seeker account