Clinical & Care Management
Location: Various, Florida, United States of America
Job Type Full time
Job Id 1453281
Posted Date 09/25/2023
You could be the one who changes everything for our 28 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.
Position Purpose: Responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectives
• Direct the overall operational leadership of case management functions and staff
• Perform and oversee needs analysis and planning
• Work with executive leadership to ensure targets are met for the annual operating plan/financial management
• Ensure compliance with Corporate, State and NCQA standards
• Develop and implement methods, policies and procedures to improve the departments efficiency and effectiveness
Education/Experience: Bachelor’s degree in Nursing or related field. At least 5 years of work experience in managed care and acute care settings with complex case management. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
License/Certification: Active RN license in Florida
For Florida plan only: RN, LCSW, LCMHC or other Clinical Mental Health Professional license required.
Education/Experience: Bachelor’s degree in Nursing or related field, or behavioral health related Master’s degree. At least 5 years of work experience in managed care and acute care settings with complex case management. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP.
Children’s team – must have experience working with children who have chronic or complex conditions
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.
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