Care Navigator

Centene; Jackson (MS); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager to transform the health of its communities. This remote role focuses on developing personalized care plans and advocating for members' healthcare needs. You'll work closely with healthcare providers and community resources to ensure timely access to services. With a strong emphasis on member support and coordination, this position offers a unique opportunity to make a meaningful impact in healthcare. Join a forward-thinking organization that values flexibility and provides a comprehensive benefits package, ensuring that you can thrive both personally and professionally.

Benefits

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Holidays

Flexible work arrangements

Qualifications

• Bachelor’s degree required with 2–4 years related experience.
• Clinical licensure preferred, experience acceptable.

Responsibilities

• Develops and coordinates personalized care plans for members.
• Evaluates member needs and facilitates access to resources.
• Documents care management activities for compliance.

Skills

Care Coordination

Patient Advocacy

Healthcare Access

Psychosocial Support

Education

Bachelor's degree in a healthcare-related field

Master's degree in a healthcare-related field

Job 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.

***Remote role. Candidate must reside in the state of Mississippi. Preferred experience in Obstetrics / Maternal Health. Licensure is not required.***

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 healthcare access and receive appropriate high-quality care through advocacy and care coordination.

1. Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome.
2. Develops or contributes to the development of a personalized care plan/service plan and works to identify providers, specialists, and community resources needed for care.
3. 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.
4. Coordinates between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible in a timely manner.
5. Monitors progress towards care plan goals and collaborates with healthcare providers for revisions or to address member needs, referring to care management as appropriate.
6. Documents and maintains all member information and care management activities to ensure compliance with regulations.
7. May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate.
8. Provides education to care managers and/or members and families on procedures, healthcare provider instructions, care options, referrals, and benefits.
9. Performs other duties as assigned by the supervisor to meet member and business needs.

Education/Experience:

Requires a Bachelor’s degree and 2–4 years of related experience. Clinical licensure (e.g., nursing license) is preferred. Equivalent experience demonstrating applicable knowledge and skills is acceptable.

License/Certification:

• Current state’s clinical license preferred.
• For Mississippi Magnolia Health plan: Bachelor’s or Master’s degree in a healthcare-related field (social work, sociology, psychology, public health) and 2–4 years of experience; LSW, LMSW preferred.

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, holidays, and flexible work arrangements (remote, hybrid, field, or office). Actual pay depends on skills, experience, education, and other factors. Total compensation may include additional incentives.

Centene is an equal opportunity employer that values diversity and inclusion. All qualified applicants will be considered without regard to 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 and ordinances.