Centene (by whatever plan name) is the worst. Member health does not matter--staff are too stupid to do UM or CM. Providers abide by their comtract, but Centene staff are too stupid to even know what's covered or not--so deny covered benefits. Anyone ever care about member health. The complaints about new titles... you're part of the problem, too stupid to process a claim or build an authorization request... but why I am a (insert new title w/o new duties) and not getting a raise? We deserve to sink...
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CM’s—- yup get your pointless TOC assessment started and ignore member re-admitted. Oh, keep using the same bad contact number. Don’t leave a direct callback number… no let the member hear from CSR “no one is trying to call you from here” when member calls backs and then gaslight them for being angry. This is typical Centene—make the member and provider suffer for systematically imbedded mistakes.
I see a lot of hard-work and dedication. I also know from experience as a provider 15 years ago, Centpatico staff had no idea what the contract entailed and arrogantly threw it out “it’s in your contract.” I read it, I had signed it for my organization, and I quoted it back to the ignorant staff at Centene. Not much has changed. I read chart notes about “impatient” admissions and discharges—the same people complaining that there new “job title” didn’t come with a raise. My department makes HIPAA violations all day long, but Centene does not care—PHI… you mean 3.14 right? They pay hourly wages for jobs every other MCO pays salary because there legal department is too stupid and lost lawsuits. Our state plan here—the first when state privatized is now dead last in enrollment. Compared to any other large MCO, we really have no idea what we’re doing and survive because we’re the only option in some large markets. Our members and providers deserve better than our lies.
Completely inaccurate to throw case management in there. Case management (at any company) is a beast and I don’t know a CM that doesn’t work hard!
Pot calling the kettle black - seriously your stupidity is showing just by making this thread.
Very few people at Centene know their job or really care!
CM here and believe me, we work very hard and we know what we are doing.