Centene

RemoteNorth AmericaFull-timeSenior

Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members.…

RN, Senior LTSS Service Care Manager

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…

RemoteNorth AmericaFull-timeSenior

RN, Senior LTSS Service Care Manager

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…

RemoteNorth AmericaFull-timeSenior

RN, Senior LTSS Service Care Manager

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…

LTSS Service Care Manager - Behavioral Health

Position Purpose: Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality,…

Provider Engagement Account Manager

Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members.…

LTSS Service Care Manager - Behavioral Health

Position Purpose: Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality,…

LTSS Service Care Manager - Behavioral Health

Position Purpose: Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality,…

Portfolio Manager

Analytics Data Analytics Program Management

Position Purpose: The Portfolio Manager will perform various analytic and strategic tasks in order to support the function. The Portfolio Manager will analyze portfolio data, documentation, and processes and…

RN Supervisor, Appeals, Managed Care, UM

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management…

Care Navigator LPN

Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a…

Provider Engagement Account Manager

Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members.…

Program Manager IV

Analytics PMP Process Improvement Program Management

Position Purpose: The Program Manager IV is responsible for all aspects of the planning and delivery of strategic programs and complex, large-scale enterprise-wide projects to execute defined requirements and meet…

Provider Engagement Account Manager (Northeast PA)

This person will cover Northeast PA; Lackawana County, Luzerne County, Lycoming County, Monroe County, Columbia County, Schuylkill County, and Northumberland County Position Purpose: Maintain partnerships between the…

Care Manager (Behavioral Health)

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including…

Transition Specialist (LVN/LPN)

Position Purpose: Provides support with identifying, overseeing, and managing the coordination of transition of members in the community. Works with leadership to ensure the timely and safe transition of members in the…

Provider Engagement Account Manager

Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members.…

RN Director, LTSS Clinical Care Management

Position Purpose: Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops…

Clinical Review Nurse - Concurrent Review

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning…