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Care Coordinator III

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Qualified candidates must be based in Florida.

Position Purpose: Works with senior care management team to support care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically.

  • Provides outreach to members via phone to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate
  • Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed
  • Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans
  • Develops in-depth knowledge of care management services including responding to some complex or escalated issues
  • Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care
  • Performs service assessments/screening for members with some complex needs and documents the member’s care needs.
  • Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed
  • Works with care management team with triaging, adjusting, and escalating complex requests to management
  • Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
  • Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager
  • Provide education on benefits and resources available
  • May assist with training and development needs
  • Performs other duties as assigned
  • Complies with all policies and standards

Qualified candidates must be based in Florida.

Education/Experience: Requires a High School diploma or GED.
Requires 2 - 4 years of related experience.

License/Certification:

  • For Florida-Sunshine Health Plan - All interactions with members are done telephonically.

Pay range: $20.00 -$34.04 per hour.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.


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.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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Average salary estimate

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$41600K
$70700K

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What You Should Know About Care Coordinator III, Centene

Are you ready to make a difference? As a Care Coordinator III at Centene in Sunrise, you could be the one to change everything for our 28 million members! At Centene, we’re committed to transforming the health of our communities, one person at a time, and we’re looking for passionate individuals to help us along the way. In this role, you will collaborate with the senior care management team to enhance care management activities and ensure that services are delivered effectively and efficiently by healthcare providers and partners. Your day-to-day will include engaging with members telephonically, conducting outreach to discuss care plans, and addressing any questions or concerns they may have. You’ll coordinate care activities while working closely with healthcare and community providers to meet our members' needs. Additionally, you will develop in-depth knowledge of care management services, and you'll document member records according to regulatory requirements. At Centene, we offer competitive pay and an attractive benefits package, including health insurance, 401K plans, and a flexible work schedule that caters to your lifestyle. Join us in our mission to provide exceptional care and support for our members—your contributions could help ensure their health and satisfaction. If you're based in Florida and have 2-4 years of relevant experience, we want to hear from you!

Frequently Asked Questions (FAQs) for Care Coordinator III Role at Centene
What are the main responsibilities of a Care Coordinator III at Centene?

As a Care Coordinator III at Centene, you will be responsible for working with the senior care management team to support care management activities. This includes engaging members through phone outreach, discussing care/service plans, and ensuring services are delivered effectively. You will coordinate care activities, address member inquiries, and document care needs in compliance with regulatory requirements.

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What qualifications do I need to apply for the Care Coordinator III position at Centene?

To apply for the Care Coordinator III position at Centene, candidates must have a High School diploma or GED and 2-4 years of related experience. Strong communication skills and the ability to work with members and healthcare providers are essential. Preferred candidates are those who are based in Florida, as all interactions with members are conducted telephonically.

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How does Centene ensure member satisfaction in the Care Coordinator III role?

Centene prioritizes member satisfaction by placing Care Coordinators III in critical liaison roles, ensuring proper coordination of care. This includes performing outreach to engage members, responding to their inquiries, and providing education about available benefits and resources. Regular communication with care managers and healthcare providers further helps to maintain continuity of care.

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What does the training look like for a new Care Coordinator III at Centene?

New Care Coordinators III at Centene participate in extensive training that covers care management services, compliance, and member engagement strategies. This initial training is designed to empower you to handle member inquiries effectively and develop a solid understanding of the policies and standards required to provide exceptional care.

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What type of work schedule can Care Coordinator III employees expect at Centene?

Centene promotes a flexible approach to work, allowing Care Coordinator III employees to choose between remote, hybrid, or office work schedules. This flexibility is part of Centene's commitment to work-life balance and ensuring that employees can thrive both in their personal and professional lives.

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Common Interview Questions for Care Coordinator III
Can you describe a time you effectively coordinated care for a member?

In your response, highlight a specific situation where you facilitated services among different providers and directly communicated with the member, ensuring their needs were met efficiently.

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How do you approach member outreach to ensure effective communication?

Discuss your strategies for engaging members telephonically, including how you educate them about their care plans and address their questions or concerns professionally and empathetically.

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What strategies do you use when dealing with complex member inquiries?

Share specific techniques for assessing complex inquiries, such as gathering detailed information, consulting resources or colleagues, and following up with members to ensure resolution.

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How would you handle a situation where a care plan needs to be adjusted?

Talk about how you would communicate with the necessary stakeholders—providers, care managers, and the member—to ensure continuous care and satisfaction while documenting any changes as required.

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Describe your experience with documentation and compliance in care management.

Emphasize your knowledge of regulations, your attention to detail in documenting care needs accurately, and how you've ensured compliance with state and federal requirements in past roles.

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What do you consider when developing a care plan for a member?

Explain the steps you take in understanding a member's unique needs, collaborating with healthcare providers, and utilizing resources to create a comprehensive care plan tailored to the member.

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How do you prioritize your tasks when managing multiple members?

Highlight your organizational skills, how you assess urgency, and the tools or methods you use to keep track of care coordination tasks effectively to serve all members efficiently.

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What do you believe are the key elements of effective teamwork in care coordination?

Discuss the importance of communication, trust, mutual support, and shared goals among care coordinators, care managers, and healthcare providers, as these elements are vital for optimizing member care.

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How do you stay updated on healthcare regulations and trends relevant to this position?

Mention your commitment to professional development through courses, webinars, and following industry publications to ensure your knowledge is current and aligned with best practices.

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What motivates you to work in care coordination?

Share your passion for helping others, the satisfaction of making a positive impact on someone's health journey, and how this aligns with Centene’s mission to transform healthcare in communities.

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Transforming the health of the community, one person at a time.

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DATE POSTED
April 15, 2025

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