Experienced Remote Licensed Healthcare Facilitator - Complex Care Management for Physical Needs Members

Transforming Healthcare, One Person at a Time Centene is on a mission to revolutionize the health of our communities, and we're expanding our team to make a meaningful impact on the lives of our 28 million members. We're seeking a dedicated and skilled Remote Licensed Healthcare Facilitator to join our team and drive success in delivering high-quality, cost-effective healthcare outcomes. About the Role As a Remote Licensed Healthcare Facilitator, you will be at the forefront of our care management activities, working closely with members, families, and healthcare providers to develop personalized care plans and education. This is a unique opportunity to make a real difference in the lives of our members, and we're looking for a professional with a strong background in healthcare facilitation to join our team. Key Responsibilities Develop, assess, and facilitate complex care management activities for members with physical needs, focusing on high-quality, cost-effective healthcare outcomes Evaluate member needs, barriers to care, and social determinants of health, recommending and facilitating plans for the best possible outcomes Collaborate with providers to identify specialists, community resources, and services to address member unmet needs Coordinate care between members, families, caregivers, and healthcare providers to ensure person-centered care and services Provide ongoing follow-up and monitoring of member status, revising care plans as necessary to meet member goals and unmet needs Facilitate care management and collaborate with providers to ensure timely access to needed care and services Collect, document, and maintain member information and care management activities to ensure regulatory compliance Provide education to members, families, and caregivers on disease processes, care options, and healthcare benefits Offer feedback to leadership on opportunities to improve care and quality delivery Perform other duties as assigned by leadership to meet business needs Essential Qualifications To be considered for this role, you must meet the following essential qualifications: A degree from an Accredited School of Nursing or a Bachelor's degree in Nursing 2-4 years of related experience in healthcare facilitation or a similar field RN - Registered Nurse - State Licensure and/or Compact State Licensure required Residency and licensure in Florida Preferred Qualifications While not required, the following qualifications are strongly preferred: OBNICU (Observation, Burn, Neuro, ICU) experience Behavioral health experience Skills and Competencies To succeed in this role, you will need to possess the following skills and competencies: Strong communication and interpersonal skills Ability to work independently in a remote setting Analytical and problem-solving skills Knowledge of healthcare regulations and compliance Experience with care management software and technology Career Growth Opportunities At Centene, we're committed to helping our employees grow and develop in their careers. As a Remote Licensed Healthcare Facilitator, you will have opportunities to: Develop your skills and expertise in care management and healthcare facilitation Take on new challenges and responsibilities as you grow in your role Participate in training and development programs to stay up-to-date on industry trends and best practices Work Environment and Company Culture Centene is a dynamic and inclusive organization that values diversity and promotes a culture of care and compassion. As a remote employee, you will enjoy: A flexible work schedule that allows you to work from the comfort of your own home A comprehensive benefits package that includes competitive pay, health insurance, 401K, and stock purchase plans Opportunities for professional growth and development A supportive and collaborative team environment Compensation and Benefits Centene offers a competitive salary range of $54,000 - $97,100 per year, depending on your skills, experience, and education. Our comprehensive benefits package includes: Competitive pay Health insurance 401K and stock purchase plans Tuition reimbursement Paid time off and holidays Flexible work schedules Join Our Team If you're a dedicated and skilled healthcare professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Don't worry if you don't meet every single requirement - we value a great attitude and a willingness to learn above all. Submit your application today and join our team in transforming the health of our communities, one person at a time! Apply for this job