Resource Specialist
Remote-OH, United States
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.
- Helps with assessing member needs and develops or contributes to the development of care plans/service plans for members with care team in accordance with their goals and preferences for various services (e.g., employment, housing, independent living, justice, foster care, and/or community transitions) including the identification and coordination of referral for care/services
- Assists with connecting members to local resources for various services (e.g., employment, housing, independent living, justice, foster care), obtaining required documentation and supporting the application process, as needed
- Acts as an available resource for members seeking local resource services support and works with members to determine eligibility and care needs based on assessments and care plans/service plans
- Monitors delivery of care/services and performs follow up to members, caregivers, and/or providers to verify members have been transitioned or have access to the appropriate care/service in a timely manner
- Works with providers, community-based organizations, community stakeholders, and governmental entities to support members and their families and/or caregivers in accessing essential care/services and resources in the local community
- Assists with developing education and training programs for care management staff and providers to improve resource service identification for members in the local community
- Supports with efforts to draft materials and assists in the development of local resource services, policies, and procedures including programs, eligibility lease agreements, advocacy, retention, emergency or temporary housing
- Ensure all resource services information is appropriately documented and up to date
- May conduct telephonic and in-person outreach to locate individuals and families in the community who are hard to reach
- Other duties or responsibilities as assigned by people leader to meet the member and/or business needs
- Performs other duties as assigned
- Complies with all policies and standards
Or equivalent experience acquired through accomplishments …
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Benefits/Perks401(k) Competitive benefits Competitive pay Comprehensive benefits Comprehensive benefits package Flexible approach Flexible work schedules Health insurance Holidays Paid Time Off Stock purchase Stock purchase plans Tuition reimbursement Workplace flexibility
Tasks- Assess member needs
- Collaborate with community organizations
- Connect members to resources
- Determine eligibility
- Develop care plans
- Monitor service delivery
Access Advocacy Assessment Benefits Best Practices Business Care management Care Plans Community Resources Coordination Documentation Education Education and Training Education programs Flexibility Foster care Health Insurance In-person outreach Insurance Leadership Management Outreach Policy Development Procedures Resource support Service Assessment Service coordination Service plans Training Training Programs
Experience2-4 years
EducationAS Bachelor's Bachelor's degree Business Education Equivalent Equivalent experience Insurance Management
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9