Care Navigator

Oklahoma Complete Health; Columbia (SC); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated care coordinator to enhance healthcare access for its members. This role involves developing personalized care plans, advocating for members, and coordinating with healthcare providers to ensure timely access to services. You will play a crucial role in transforming health outcomes for communities, making a significant impact on individuals' lives. With a commitment to diversity and a comprehensive benefits package, this position offers a rewarding opportunity to contribute to a healthier future for all.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Arrangements

Qualifications

• 2-4 years of experience in care management or related fields.
• Clinical licensure through graduation from an accredited School of Nursing is required if applicable.

Responsibilities

• Develops personalized care plans and coordinates care management activities.
• Evaluates member needs and facilitates access to healthcare services.
• Monitors progress towards care plan goals and collaborates with providers.

Skills

Care Coordination

Patient Advocacy

Resource Management

Psychosocial Support

Education

Bachelor’s Degree

Job description

locations Columbia (SC) - 200 Center Point Circle (11049) Remote-SC

time type Full time

posted on Posted Today

job requisition id 1555293

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:

Develops, assesses, 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.

(Myrtle Beach or Greenville locations). CHW certification required.

• Evaluates the needs of the member, barriers to care, resources available, and recommends and facilitates the plan for the best outcome.
• Develops or contributes to the development of personalized care plans and works to identify providers, specialists, and community resources needed for care.
• 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 assessments and plans.
• Coordinates between the member and/or family/caregivers and the care provider team to ensure services are accessible in a timely manner.
• Monitors progress towards care plan goals and collaborates with healthcare providers for revisions or further evaluation as needed.
• Collects, documents, and maintains all member information and activities to ensure compliance with regulations.
• May perform on-site visits to assess needs and collaborate with providers or resources.
• Provides education on procedures, healthcare instructions, care options, referrals, and benefits.
• Performs other duties as assigned by the leader to meet member and business needs.

Education/Experience:

Requires a Bachelor’s degree and 2–4 years of related experience. Clinical licensure through graduation from an accredited School of Nursing is required if applicable. Equivalent experience demonstrating the necessary knowledge, duties, scope, and skills is also acceptable.

License/Certification:

• CHW certification required.

Pay Range: $22.50 - $38.02 per hour

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off and holidays, and flexible work arrangements (remote, hybrid, field, or office schedules). Actual pay will be based on skills, experience, education, and other factors.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.

Thank you for your interest in Centene. For accommodations during the application process, contact [e-mail].

About Us

Centene is dedicated to helping people live healthier lives through access to high-quality healthcare, innovative programs, and a broad range of health solutions for families and individuals.