Care Navigator

SilverSummit Healthplan; Las Vegas (NV); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Care Navigator to transform healthcare access for its 28 million members. In this remote role, you will develop personalized care plans, evaluate member needs, and coordinate with healthcare providers to ensure timely access to services. This position offers a unique opportunity to make a meaningful impact in the lives of individuals while enjoying competitive benefits and workplace flexibility. Join a team committed to improving community health and be part of a transformative journey in healthcare.

Benefits

Health insurance

401K

Stock plans

Tuition reimbursement

Paid time off

Flexible work schedules

Qualifications

• 2-4 years of related experience in care management or social work.
• Clinical licensure preferred, especially for Nevada Medicaid plans.

Responsibilities

• Develops and coordinates personalized care plans for members.
• Evaluates member needs and recommends best care plans.
• Monitors progress towards care plan goals.

Skills

Social Work licensure

Behavioral/Mental Health experience

Care coordination

Advocacy skills

Education

Bachelor’s degree

Job description

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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.

Location and Requirements:

• Remote role with potential local travel. Candidate must reside in Nevada, preferably Clark County or Washoe County.
• Must possess Social Work licensure and have a background in Behavioral/Mental Health.

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 personalized care plans for members, educating them and their families on available services to improve healthcare access and quality through advocacy and care coordination.

• Evaluates member needs, barriers to care, available resources, and recommends the best care plan.
• Develops or contributes to ongoing care plans and identifies providers, specialists, and community resources.
• Provides psychosocial and resource support to members, caregivers, and care managers.
• Coordinates between members, families, and care providers for timely access to services.
• Monitors progress towards care plan goals and collaborates with healthcare providers for revisions.
• Maintains all member information and care activities for compliance.
• May perform on-site assessments and provide education on procedures, care options, and benefits.
• Other duties as assigned to meet member and business needs.

Education and Experience:

Bachelor’s degree and 2-4 years of related experience. Clinical licensure (e.g., Nursing) preferred or equivalent experience.

License/Certification:

• Current state’s clinical license preferred.
• For Nevada Medicaid plans, Licensed Bachelor’s or Master’s Social Worker (LSW or LMSW) required.

Compensation: $22.50 - $38.02 per hour.

Centene offers comprehensive benefits including health insurance, 401K, stock plans, tuition reimbursement, paid time off, and flexible work schedules. Actual pay depends on skills, experience, and other factors.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will be considered regardless of protected characteristics.

Additional Information:

• Seniority level: Not Applicable
• Employment type: Full-time
• Job functions include Other, IT, Management
• Industries: Healthcare and Insurance

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