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

We are looking for someone to join our team and make a positive impact on the lives of our 28 million members. As a clinical professional in our Medical Management/Health Services team, you have the opportunity to bring about meaningful change. At Centene, we believe in providing competitive benefits and fostering a fresh perspective on workplace flexibility.

This position is remote, allowing you to work from home and support LTSS MMP HIV/TBI waiver participants in Christian, DeWitt, Logan, Macon, and Sangamon Counties. We are also offering a $3,000 sign-on bonus for this role. Please note that you will be required to travel 75% of the time, and we will reimburse your mileage at the current IRS guideline rate.

Position Purpose: Your role will be to ensure our members have access to the services they need by coordinating and integrating medical and long-term care services. This includes conducting assessments, developing care plans, coordinating services, and providing care coordination.

In this role, you will:

• Complete assessments with members, caregivers, or providers to gather information about the client's status, support system, and service needs for care plan development.
• Monitor the delivery of services and follow up with members, caregivers, or providers through in-person visits and phone calls.
• Authorize and coordinate referrals for services.
• Ensure that provider services are delivered without gaps and identify any deficiencies in the care plans.
• Assist in integrating informal or voluntary services into the member's care plan.
• Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge and care plans, as well as coordination of acute care and long-term care services.
• Assist members in filing and resolving complaints and appeals.

Education/Experience: To be considered for this position, you should have at least a Bachelor's degree or be a registered nurse with 2+ years of care management experience. If you are an LPN, you should have 4+ years of care management experience, and if you do not have a degree, you should have 6+ years of care management experience. Home health, discharge planning, or long-term care experience is preferred.

Requirements for Brain Injury/HIV/AIDS: You must meet one of the following criteria:

• 1. A Registered Nurse (RN) licensed in Illinois with a Bachelor's degree in nursing, social work, social sciences, or counseling, or four (4) years of case management experience.
• 2. Certified or Licensed social worker with a Bachelor's degree in social work, social sciences, or counseling, or a Master's degree in social work.
• 3. Unlicensed social worker with a minimum of a Bachelor's degree in social work, social sciences, or counseling.

In addition to meeting 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

We offer a comprehensive benefits package, including:

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

Centene is an equal opportunity employer that values diversity and recognizes the importance of our differences. We are committed to providing equal employment opportunities to all qualified applicants, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law.

Please submit your application through the form below, and we will get in touch with you shortly. Thank you for considering joining our team!

Application Form: