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in Dallas, TX

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Hours Full-time, Part-time
Location Dallas, TX
Dallas, Texas

About this job

Position Purpose: Collaborate with medical, behavioral, and social support staff in conducting screening and risk assessment interventions based on program guidelines.

Identify special needs members through the completion of face to face assessments, health screens and other resources, and advise, assist and authorize appropriate services

Review and evaluate all requests for specialized and private care including nursing services

Act as a clinical resource to complex medical cases and individual service plans

Act as a liaison between members, providers and pharmacies and review and follow-up on medical referral calls

Coordinate with the discharge planning teams, case management, and providers for difficult member placements and post hospital discharge

Attend medical and behavioral health rounds to ensure follow up on care and service coordination on various services

Conduct home visits to assess service needs and determine support available to members

Oversee the development and modify service plans in conjunction with members and other interdisciplinary team members

Serve as clinical consultant for the service coordination team

Education/Experience: 2 years of clinical nursing or case management experience. 2 years of experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment.

Licenses/Certifications: Current state's RN license.

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.