Resource Specialist

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Job description

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.

NOTE: This is a hybrid remote role (work-from-home) with 50% travel through the state of Kansas. Schedule: On average, 8-5 PM central time zone with occasional evenings and weekends (for community events) including infrequent overnight stays away from home due to travel for events in more distant areas of Kansas. Preference will be given to applicants (1) with experience in case management or community advocacy (especially for Kansas waiver population), (2) who are subject matter experts on housing programs and other social determinants of health; (3) who are Kansas residents (especially Johnson, Sedgwick, Shawnee and Saline county).

Position Purpose: Provides resource support to members and connects members to local resources for various services (e.g., employment, housing, independent living, justice, foster care) based on care/service assessment and plans. Works with leadership to identify the best, most appropriate local resources for member's needs based on industry best practices.

• 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

Education/Experience: Requires a Bachelor's degree and 2 - 4 years of related experience.

Additional Details:
• Department: MED-Case Management / Kansas LifeShare LifeShare works with all members receiving Medicaid but specializes on waiver and transition populations.
• Territory: Kansas (statewide).

Pay Range: $22.07 - $37.25 per hour

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.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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