A Nursing Home or Home Health Administrator manages staff and operations at a long term care facility. Oversees admission and care of residents, staff hiring, billing and finances, compliance with regulatory requirements and building maintenance. Maintains professional licensing requirements. Manages staff, recordkeeping, billing, finances, and other administrative work for a home health care program, where aides assist clients with personal, household and some health-related services in their homes.
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
