Care Navigator

Magnolia Health Plan; Kansas; Remote; USD 10,000 - 60,000; Full time

Job summary

An innovative healthcare organization is seeking a dedicated care coordinator to transform the health of communities. This remote role focuses on developing personalized care plans, advocating for members, and ensuring access to quality healthcare services. With a commitment to diversity and a supportive work environment, this position offers competitive pay and flexible schedules. Join a team that values your contributions and helps make a difference in the lives of millions.

Benefits

Health Insurance

401K

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 2-4 years of related experience in healthcare or social work.
• Bachelor's or Master's degree in healthcare-related fields preferred.

Responsibilities

• Develop and coordinate personalized care plans for members.
• Evaluate member needs and facilitate access to resources.
• Monitor care plan goals and collaborate with healthcare providers.

Skills

Care Coordination

Advocacy

Psychosocial Support

Healthcare Knowledge

Education

Bachelor's Degree

Master's Degree in Healthcare

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 personalized care plans 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 to members in a timely manner.
5. Monitors progress towards care plan goals and collaborates with healthcare providers for care plan revision or addresses member needs, referring to care management as appropriate.
6. Collects, documents, and maintains all member information and care management activities to ensure compliance with current regulations.
7. May perform on-site visits to assess member’s needs and collaborate with providers or resources.
8. Provides education to care managers and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and benefits.
9. Performs other duties as assigned by the people leader to meet member and/or business needs.
10. Ensures compliance with all policies and standards.

Education/Experience: Requires a Bachelor’s degree and 2–4 years of related experience. Clinical licensure (e.g., nursing license) is preferred. Equivalent experience through applicable knowledge and duties may be considered.

License/Certification:

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

Pay Range: $22.50 - $38.02 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 flexible work schedules (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 committed to diversity. 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.