Resource Specialist I
Company: Oklahoma Complete Health
Location: Shawnee
Posted on: November 20, 2023
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Job Description:
You could be the one who changes everything for our 28 million
members as a clinical professional on our Medical Management/Health
Services team. Centene is a diversified, national organization
offering competitive benefits including a fresh perspective on
workplace flexibility.
Candidates must reside in Oklahoma.
Position Purpose: Responsible for assessing needs and developing
service plans for members in accordance with their goals and
preferences in regards to employment, housing, participant
direction, independent living, and/or community transitions. Serve
as a subject matter expert for Service Coordinators and Care
Managers in supporting the development of person-centered service
plans for members.
Completes assessments with members, caregivers, and/or providers to
obtain information regarding member status, support system, and
needs for services in order to develop service plans.
Responsible for linking members to local resources for employment,
housing, participant direction, independent living, and/or
community transitions based on assessments and service plans.
Authorize and coordinate referral for services.
Monitor delivery of services and follow-up with members,
caregivers, and/or providers through in person visits and
telephonic contact.
Participate in Advisory Committee and Interdisciplinary Care Team
meetings.
Develop and maintain health plan resources in assigned focus
area(s), including inventory of accessible housing units, directory
of employment resources, etc.
Track activities and progress in assigned focus area(s) and support
health plan performance goals and quality initiatives
Responsible for building relationships with providers,
community-based organizations, and relevant governmental entities
to support members and their families in accessing essential
services and resources.
Provide technical expertise and training to the health plan as
needed on the rules, regulations, and benefits in assigned focus
area(s).
Education/Experience: Bachelor's degree in related field or
equivalent experience. 2+ years' experience in employment, housing,
transitions, or participant direction programs. Experience working
with LTSS, chronic or complex condition populations preferred. Must
be willing to travel onsite on occasion.
Licenses/Certifications: Must have a valid State Driver's
License
Our Comprehensive Benefits Package: 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 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.
Keywords: Oklahoma Complete Health, Midwest City , Resource Specialist I, Other , Shawnee, Oklahoma
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