Jobs for Humanity is partnering with Meridian Illinois to build an inclusive and just employment ecosystem. Therefore, we prioritize individuals coming from the following communities: Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard of Hearing, Black, Hispanic, Asian, Military Veterans, the Elderly, the LGBTQ, and Justice Impacted individuals. This position is open to candidates who reside in and have the legal right to work in the country where the job is located.

Company Name: Meridian Illinois

Are you passionate about making a difference in the lives of others? Join our team as a clinical professional on our Medical Management/Health Services team and help improve the lives of our 28 million members. At Centene, we believe in workplace flexibility and offer competitive benefits that cater to your needs.

This position allows you to work remotely from home and support LTSS MMP HIV/TBI waiver participants in Christian, DeWitt, Logan, Macon, and Sangamon counties. You will be required to travel 75% of the time, and we provide mileage reimbursement at the current IRS guideline rate.

Position Purpose: Your role will involve coordinating and integrating medical and long-term care services to ensure our members have access to the care they need. This includes assessing client status, developing care plans, and coordinating care.

• Meet with members, caregivers, or providers to gather information for care plan development
• Monitor service delivery and follow up through in-person visits and phone calls
• Coordinate and authorize referrals for services
• Identify any gaps in care plans and ensure seamless delivery of services
• Help integrate informal or voluntary services into member care plans
• Collaborate with discharge planners, physicians, and other parties to coordinate acute and long-term care services
• Assist members with complaints and appeals

Education/Experience:

We require a Bachelor's degree or Registered Nurse licensure with at least 2 years of care management experience. Alternatively, you can have an LPN license with at least 4 years of care management experience, or a minimum of 6 years of care management experience. Experience in home health, discharge planning, or long-term care is highly preferred.

Brain Injury/HIV/AIDS:

• Option 1: Registered Nurse (RN) license in Illinois and a bachelor's degree in nursing, social work, social sciences, or counseling OR minimum of 4 years of case management experience
• Option 2: Certified or licensed social worker with a bachelor's degree in social work, social sciences, or counseling OR a Master's in social work
• Option 3: Unlicensed social worker with a bachelor's degree in social work, social sciences, or counseling

In addition to meeting one of the above criteria, you should have experience working with:

• Addictive and dysfunctional family systems
• Racial and ethnic minorities
• Homosexuals and bisexuals
• Persons with AIDS
• Substance abusers

Benefits Package:

• Flexible work solutions, including remote options and hybrid work schedules
• Competitive pay
• Paid time off, including holidays
• Health insurance coverage for you and your dependents
• 401(k) and stock purchase plans
• Tuition reimbursement and training and development opportunities

Centene is an equal opportunity employer that values diversity. We believe in embracing our differences and welcome applicants from all backgrounds. Regardless of your race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristic, we encourage you to apply.