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. **** NOTE: This is a fully remote role. Preference will be given to applicants (1) based in Illinois who have (2) experience serving mostly adult members with developmental disabilities and case management. Additional Details: • Department: MED-Case Management • Business Unit: Illinois Health Plan • Schedule: Monday – Friday 8-4:30 pm CT **** Position Purpose: Assesses, plans, implements, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination. - Develops or contributes to the development of ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care - Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members in a timely manner - May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate - Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans - Identifies problems/barriers for care coordination and appropriate care management interventions for members with higher level of care needs - Reviews referrals information and intake assessments to develop or assist in the development of appropriate care plan/service plan for members with higher level of care needs - Collaborates with healthcare partners as appropriate to facilitate member care to ensure member needs are met and determine if care plan/service plan revision is needed - Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators - May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate - May provide education to care managers and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits - Serves as a Subject Matter Expert (SME) to support the care navigation team and/or serve as a preceptor for newly hired staff - Other duties or responsibilities as assigned by people leader to meet the member and/or business needs - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: Requires a Bachelor’s degree and 4 – 6 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. License/Certification: - Current state’s clinical license preferred 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

• Conduct thorough financial assistance screenings using the HEART application and other approved tools to determine eligibility for hospital charity programs and external financial resources. • Assist insured patients experiencing financial hardship by evaluating eligibility for deductible, copay, and coinsurance support programs. • Manage assigned financial assistance work queues efficiently, ensuring timely and accurate completion and follow-up. • Investigate and resolve insurance discrepancies, coverage conflicts, and registration-related issues to prevent downstream denials and billing delays. • Communicate clearly, empathetically, and professionally with patients and families regarding financial obligations and available support pathways while maintaining confidentiality. • Collaborate with Benefits Assistance, Registration, Revenue Cycle teams, and external agencies to streamline financial clearance and enhance the overall patient financial experience. • Monitor cases and documentation to ensure compliance with federal and state regulations, payer policies, hospital charity care standards, and HIPAA requirements. • Identify trends in financial hardship and escalate complex cases or operational barriers to leadership for timely resolution and process improvement. • Maintain accurate documentation within the electronic health record and related systems to support reporting, audit readiness, and program transparency. • Contribute to a culture of patient advocacy by proactively assisting families through stressful financial situations and promoting equitable access to care.

Title: Care Coach - Dane County, WI Location: Madison United States Job Description: Become a part of our caring community and help us put health first Humana/iCare is looking for a Care Coach to join the growing Dane County team in the Family Care Partnership (FCP) program. The FCP Care Coach provides care management services through the FCP program including assessment, service plan development, ongoing care coordination, quality assurance and ongoing monitoring of services to adults with disabilities and the frail elderly. Share and develop your skills all while doing your part to improve the lives of others. The FCP Care Coach works with the Interdisciplinary Team (IDT) and other Partnership staff. This collaboration assists members and their families with identifying service needs and gaining access to services, including medical, social, rehabilitation, vocational, educational, and other services. The ultimate goal is to achieve members' desired outcomes. Responsibilities: - Conduct psychosocial assessments as part of the comprehensive assessment process. - Use the Resource Allocation Decision-making methodology (RAD). This methodology helps members identify their preferred outcomes and potential strategies to achieve those outcomes. These strategies include the identification of community resources and cost-effective services or equipment. - Coordinate and monitor services and resources implemented to meet member's identified outcomes and member's progress toward meeting those outcomes. - Conduct periodic reassessment and updates of the member's care plan and monitor member's health and safety. - Assist member or member's representative in filing complaints, grievances and obtaining advocacy services. - Document member information and contacts made regarding member's care and services provided. - Create documentation according to policy and procedure, workflows, audit requirements and time frames. - Build constructive working relationships with the member, their family members, and appropriate outside agency staff. - Facilitate collaboration with the member's physician or appropriate medical professionals to coordinate member's care. - Help with problem resolution between member and providers. - Educate member and providers regarding benefits, service providers and protocols to access resources and the appropriate use of medical services. Provide referrals for community resources and social services. - Actively monitor member's ability and willingness to engage in treatment regimes, and problem solve with staff, member and providers to find alternatives or solutions to their needs. Use your skills to make an impact Required Qualifications - Bachelor's degree in health and human services field - 2+ years of related health care experience - Will travel within Dane and surrounding counties Preferred Qualifications - Previous home health, managed care or case management experience - Previous experience working with persons with disabilities and/or older adults in a health care setting - Case Manager Certification - General knowledge of Medicaid and Medicare benefits Additional Information - Workstyle: Field based with a home office - Travel: up to 60/70% throughout Dane and surrounding counties - Typical Work Days/Hours: Monday - Friday, 8:30am - 5:00 pm CST TB Statement This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Driving Statement This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. WAH Internet Statement To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Why We're Here: At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most—wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don’t accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all. Job description We are looking for full-time Associate Therapists to join our team and provide outpatient services through our telehealth program! Benefits: Our team works 100% remotely from their own homes! - W2, Full-time - Free qualified supervision offered (must meet qualifications) - Monday - Friday schedule; No weekends! Shift options include 10am-7pm or 11am-8pm EST - Comprehensive benefits package including PTO, medical, dental, vision benefits along with liability insurance covered and annual stipend for growth & education opportunities - Additional compensation offered to bilingual candidates (Spanish)! - We not only partner with commercial health plans, but are also a licensed Medicaid and Medicare provider and see patients across the lifespan Requirements: - Master's level degree and licensure - Candidates must have unrestricted authorization to work in the United States that does not require employer sponsorship now or in the future. At this time, we are unable to support employment authorization tied to temporary or employer-dependent visa statuses. - Work from home space must have privacy for patient safety and HIPAA purposes - Fluency in English, Spanish preferred; proficiency in other languages a plus Skills: - Knowledge of mental health and/or substance abuse diagnosis - Treatment planning - Comfortable with utilizing technology at all points of the day, including telehealth software, video communication, and internal communication tools - Experience working in partnership with clients to achieve goals - Ability to utilize comprehensive assessments Ready to apply? Here’s what to expect next: It’s important to our team that we review your application and get back to you with next steps, fast! To help with that, and be most considerate of your time (which we value and know is limited), you may receive a call from Phoenix - our AI Talent Scout. She’ll ask for just 5 minutes of your time to gather some information about you and your job search to get the basics out of the way. If there is a mutual fit we’ll match you to the right senior recruiter on our team. Brave Health is very proud of our diverse team who cares for a diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience to apply.