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Centene CorporationCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in developing and coordinating holistic care management activities, including personalized service care plans for long-term care members. Proficient in evaluating member needs, facilitating care plans, and collaborating with providers and community resources to enhance service delivery.
Highest-signal resume keywords
Bachelor's DegreeExperience With Vulnerable PopulationsIllinois-Licensed RNCare Plan DevelopmentLocal Travel
About the role
Key responsibilities & impact- Assist in developing, assessing, and coordinating holistic care management activities
- Develop or assist with personalized service care plans for long-term care members
- Educate members and families/caregivers on available services, benefits, procedures, healthcare instructions, referrals, and service options
- Evaluate member needs and available resources and recommend or facilitate care plans
- Identify providers, specialists, and community resources for long-term care
- Coordinate between members, families/caregivers, and care provider teams
- Provide resource support for employment, housing, participant direction, independent living, justice, and foster care needs
- Monitor care plans, member status, and outcomes and recommend updates
- Interact with long-term care providers and partners
- Collect, document, and maintain member information and care management activities
- Conduct in-home and on-site visits and collaborate with providers/resources
- Provide leadership feedback on opportunities to improve quality, service delivery, and cost-effectiveness
- Perform other assigned duties and comply with policies and standards
Requirements
What you’ll need- Bachelor's degree and 1 year of related experience, or equivalent experience acquired through applicable knowledge, duties, scope and skill
- For Illinois Plan: one of the specified criteria for Physically Disabled/Elderly members: Illinois-licensed RN; bachelor's or master's degree in a human services-related field; or LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly
- For Brain Injury/HIV/AIDS members: one of the specified RN, social worker, or unlicensed social worker qualification pathways
- For Brain Injury/HIV/AIDS members: experience with addictive and dysfunctional family systems, racial and ethnic minorities, homosexuals and bisexuals, persons with AIDS, and substance abusers
- For Superior Health Plan: direct experience working with individuals with disabilities and/or vulnerable populations with chronic or complex conditions within three of the last five years
- Must live in Rock Island
- Approximately 75% local travel and ability to conduct in-home and on-site member visits
- Compliance with applicable policies, standards, and state, federal, and third-party payer regulations
Benefits
Comp & perks- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care ManagementAssessment ConductingResource CoordinationDocumentation MaintenanceQuality Improvement
Soft Skills
Interpersonal CommunicationLeadership FeedbackCollaboration
Certifications & Qualifications
Illinois-Licensed RNLPN Certification
Industry Keywords
Long-Term CareChronic ConditionsCommunity ResourcesHealthcare InstructionsCompliance Regulations