Position Purpose: Supports community connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and supports the care team to identify member community support and provide health education as appropriate.

Key Responsibilities: This is an in-office position with administrative/clerical responsibilities at the Latham-Albany Regional Office (31 British American Blvd Latham, NY 12110). Hours are M-F 8:30 am to 5:00 pm EST. This is a role on the fax team that is responsible for processing all faxes on the same day they are received to ensure that all service requests are routed to Utilization Management in a timely manner to ensure compliance.

• Provides support to members to connect them to known community and care resources in a cost- effective manner
• Supports the coordination of community outreach resources available to members and promotes awareness of care/services
• Serves as support for members on community and care resource inquiries and opportunities available to members
• Supports all member related correspondence and educational materials to assist in the facilitation of a successful community connection
• Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements
• Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support
• Conduct non-clinical general health assessments in order to refer members to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers and staff working within the organization
• Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers in staff working within our organization
• Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach
• May make visits to individual homes and/or community organizations
• Working Knowledge of Social Determinants of Health (SDOH) barriers
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience: Requires a High School diploma or GED
Requires 1 – 2 years of related experience

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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