Guardianship Liaison at Centene Corporation

, Kentucky, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Aug, 26

Salary

48.55

Posted On

23 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Care Coordination, Patient Advocacy, Person-Centered Care Planning, Regulatory Compliance, Behavioral Health Assessment, Interdisciplinary Collaboration, Outreach, Social Determinants of Health, Member Engagement

Industry

Hospitals and Health Care

Description

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. Position Purpose: The Guardianship Liaison supports members who are under state-appointed adult guardianship. This role serves as the primary liaison between the state guardianship department, the interdisciplinary care team, and service providers to ensure coordination and delivery of medically necessary services in alignment with the state-approved service plan. The Guardianship Liaison is responsible for facilitating enrollment into care management, integrating the state-approved service plan into the member's individualized care plan, and ensuring coordination of physical health, behavioral health, and health-related social needs (HRSN). This role supports continuity of care, regulatory compliance, and improved member outcomes through proactive engagement, collaboration, and care plan oversight. Conducts outreach to state-appointed guardians to obtain and review state-approved service plan, ensuring alignment with care management requirements and identification of member needs. Functions as a liaison and advocate between the member, state guardian, providers, and community-based organizations to support coordination of services and access to care. Completes comprehensive assessments and develops individualized, person-centered care plans that incorporate medical, behavioral health, and social determinants of health needs. Collaborates with the interdisciplinary care team, including providers and community resources, to implement, monitor, and adjust care plans based on member needs and outcomes. Facilitates care team meetings, as appropriate, to review progress toward goals, update care plans, and ensure alignment with the state-approved service plan. Monitors care plan implementation and member progress, identifying barriers to care and coordinating interventions to support goal attainment. Assists members and guardians with accessing benefits and community resources, particularly when existing benefits are exhausted or unavailable, to address unmet needs. Monitors and evaluates care plan implementation, utilization, and member outcomes to ensure effective care management, support regulatory reporting, and drive quality improvement Collecting and documenting all member information to ensure compliance with current state, federal, and third party payer regulations and contractual requirements. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Requires a Master's degree in behavioral health or social work, or a Degree from an Accredited School of Nursing, and 2 – 4 years of related experience. Guardianship experience preferred. License/Certification: One of the following is required: Licensed Master's Behavioral Health Professional (e.g., CSW, LCSW, LMSW, LPCC, LPC) or RN based on state contract requirements with behavioral health experience required. Pay Range: $27.02 - $48.55 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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 Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Responsibilities

Acts as the primary liaison between state guardianship departments, care teams, and providers to coordinate medically necessary services for members under adult guardianship. Responsible for developing person-centered care plans and ensuring the integration of state-approved service plans with physical and behavioral health needs.