Centene

Centene Corporation, a Fortune 500 company, is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government-sponsored healthcare programs, focusing on under-insured and uninsured individuals.

The Company operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.

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Position Company Location Posted
Long Term Support Services Care Specialist Centene Ocala, Florida US 06/28/2020
Description: Position Purpose: Oversees the care for long term support services / long term care populations and provides coordination of care services for lower acuity individuals living in the community or nursing facilities. Ensures a comprehensive assessment of member's care needs and status, interdisciplinary team approach, and education of members. Works closely with internal and external partners to achieve optimal health care outcomes for the member through effective ... More
Senior Long Term Support Services Care Specialist Centene Schaumburg, Illinois US 06/28/2020
Description: Position Purpose: Oversees the care for long term support services / long term care populations and provides coordination of care services for lower acuity individuals living in the community or nursing facilities. Ensures a comprehensive assessment of member's care needs and status, interdisciplinary team approach, and education of members. Works closely with internal and external partners to achieve optimal health care outcomes for the member through ... More
Behavioral Care Coordinator Centene Texas, Texas US 06/28/2020
Description: Position Purpose: Conduct screening and risk assessment interventions per program guidelines. Provide outreach and preventative care to members seeking services in the least restrictive environment.Identify special needs members through the completion of health screens and other resources.Educate providers, members and their families on behavioral health issues including symptoms, relapse prevention, stress reduction, lab work, and ... More
Behavioral Health Care Manager Centene Tampa, Florida US 06/27/2020
Description: Position Purpose: Conducts comprehensive member psychosocial assessments through root cause analysis and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs. Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Assess members to recommend activities and behavioral routines to meet ... More
Utilization Review Nurse I Centene Getzville, New York US 06/27/2020
Description: Position Purpose: The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization. Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care services. Answers Utilization Management directed telephone calls; managing them in a professional and competent manner. Processes all prior authorizations to completion utilizing ... More
Supervisor, Utilization Management Centene Tempe, Arizona US 06/27/2020
Description: Position Purpose: Supervise the daily operations of the utilization management (UM) departmentSupervise the daily operations of the UM staffEnsure appropriate usage of resources in order to facilitate the UM processEnsure compliance within applicable state program guidelinesEvaluate compliance policies and procedures and analyze/recommend enhancementsAssist with ensuring consistent data collection from UM staff that is used to assist ... More
Long Term Support Services Care Specialist Centene Tallahassee, Florida US 06/26/2020
Description: Holmes County Jackson County Washington County Position Purpose: Oversees the care for long term support services / long term care populations and provides coordination of care services for lower acuity individuals living in the community or nursing facilities. Ensures a comprehensive assessment of member's care needs and status, interdisciplinary team approach, and education ... More
Care Manager I (Social Work) Centene Ocala, Florida US 06/26/2020
Description: Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and ... More
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