Company: Oklahoma Complete Health
Posted on: February 10, 2024
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
Oklahoma Complete Health, a Centene company, is committed to
providing quality healthcare solutions to transform the health of
Oklahomans.At Oklahoma Complete Health, we are community advocates
and change-makers in search of an inclusive culture grounded by our
commitment to work-life balance, competitive compensation, and
continuous career development. Join us and be a part of a
collaborative, growing network of innovative thinkers delivering
solutions at the local level.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 long term goals, treatment and provider
- Coordinate services between Primary Care Physician (PCP),
specialists, medical providers, and non-medical staff as necessary
to meet the complete medical socio economic needs of members.
- Develop plan of care based upon assessment with specific
objectives, goals and interventions designed to meet member's
- Collaborate with providers, when necessary, to ensure members
receive services in-line with current care plans.
- Enter and maintain assessments and pertinent clinical
information into various medical management systems.
- Facilitate member access to community based services.
- Perform in home visits.
- Ensure contractual compliance is met.
- For Transition of Care Team:
- Reach members who have been admitted to an in-patient facility
and capture them while in-patient, engaging member and continuing
outreach Post Discharge.
- Provide quality outreach and education and decrease
readmissions to these facilities by means of supporting members
with resources to meet their needs in the least restrictive
environment.Must reside in the state of
OklahomaEducation/Experience: Bachelor's degree in social work,
psychology, human resources, counseling, nursing, special education
or a closely related field or 2+ years of relevant healthcare
License/Certification: Valid driver's license and automobile
insurance.For Oklahoma Complete Health - Children's Specialty
Program Preferred Experience: Instate presence with knowledge of
the complex care needs of the population served, particularly
children adjudicated, deprived and in custody of the state child
welfare or juvenile justice system through formal education,
personal, or employment experience. Experience also includes
assisting with facility transition, adolescent to adulthood
transition, provider terminations, and changes in level of care (BH
inpatient to residential care/group home LOC).Pay Range: $25.44 -
$45.76 per hour
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 offers a comprehensive benefits package including:
competitive pay, health insurance, 401K and stock purchase plans,
tuition reimbursement, paid time off plus holidays, and a flexible
approach to work with remote, hybrid, field or office work
schedules. Actual pay will be adjusted based on an individual's
skills, experience, education, and other job-related factors
permitted by law. Total compensation may also include additional
forms of incentives.
Keywords: Oklahoma Complete Health, Lawton , Care Coordinator, Other , Lawton, Oklahoma
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