Jobs for Humanity is partnering with Oklahoma Complete Health 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: Oklahoma Complete Health

Are you passionate about making a difference in the lives of millions of people? Centene is dedicated to improving the health of our communities, one person at a time. We believe in creating an inclusive culture that respects work-life balance, offers competitive compensation, and supports continuous career development.

Oklahoma Complete Health, a Centene company, is focused on delivering high-quality healthcare solutions to improve the health of Oklahomans.

Your Role: As part of our team, you will work closely with our members and healthcare providers to ensure that their needs are met. This includes closing care gaps, removing barriers to care, conducting outreach programs, and providing face-to-face support. Your mission will be to enhance the overall member and provider experience, improve HEDIS measures, deliver education on coding, and support quality improvement interventions. You will also assist in scheduling appointments, arranging transportation, and connecting members with community-based resources when needed. Confidentiality and respect for privacy are paramount in this role.

Your Responsibilities:

• Act as a liaison and advocate for members, their families, and healthcare providers.
• Collaborate with providers to ensure compliance with HEDIS measures and offer guidance on coding.
• Analyze provider performance data to identify improvement opportunities.
• Work with Provider Relations to enhance overall performance in areas like Quality, Risk Adjustment, Operations, etc.
• Schedule doctor appointments for members and deliver face-to-face education on care gaps and barriers to care.
• Conduct telephone outreach and provide health coaching to support improvement initiatives.
• Arrange transportation and follow-up appointments for members, when necessary.
• Maintain detailed documentation of all member interactions.
• Collaborate with other departments, such as customer service, to resolve member issues.
• Refer members to case or disease management programs as needed.
• Complete special assignments and projects as assigned.

Your Qualifications: You should have a Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or a related field. Alternatively, equivalent work experience in direct patient care, social work, quality improvement, or health coaching will be considered. Preferred qualifications include a license or certification as a Licensed Practical Nurse (LPN), Licensed Master Social Worker (LMSW), Certified Social Worker (C-SW), Licensed Social Worker (LSW), or Registered Nurse (RN).

What We Offer: At Centene, we value our employees and offer a comprehensive benefits package. This includes flexible work solutions, competitive pay, paid time off, health insurance coverage, retirement plans, tuition reimbursement, and excellent training and development opportunities.

Our Commitment: We are an equal opportunity employer committed to diversity and inclusion. We embrace and value individual differences and encourage applicants from all backgrounds to apply. 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 any other characteristic protected by applicable law.