Care Navigator

Oklahoma Complete Health; Mississippi; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated care coordinator to enhance healthcare access for its members. This remote position requires a compassionate individual with a Bachelor’s degree and experience in care management. You'll develop personalized care plans, advocate for members, and ensure they receive quality services. Join a forward-thinking organization that values flexibility and offers competitive benefits, including health insurance and 401K plans. If you're passionate about making a difference in healthcare, this role is for you!

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Arrangements

Qualifications

• Bachelor’s degree required; 2-4 years of related experience.
• Clinical licensure from an accredited School of Nursing preferred.

Responsibilities

• Develops personalized care plans based on member needs.
• Coordinates care between members and healthcare providers.
• Documents and maintains member information for compliance.

Skills

Care Coordination

Patient Advocacy

Psychosocial Support

Regulatory Compliance

Education

Bachelor’s degree in healthcare-related field

Master’s degree in 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.

Location: Position is remote. Must live in Mississippi.

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.

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 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 as appropriate 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. May monitor progress towards care plan goals and collaborates with healthcare providers for revisions or to address member needs, referring to care management as needed.
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 needs and collaborate with providers or resources as appropriate.
8. May provide education to care managers and/or members and their families/caregivers on procedures, healthcare 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. Graduation from an accredited School of Nursing is required if holding clinical licensure. Equivalent experience demonstrating applicable knowledge, duties, scope, and skills at this level is also acceptable.

License/Certification:

• 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 related experience; LSW, LMSW preferred.

Additional Information: Position is remote, must reside in Mississippi. Pay range: $22.50 - $38.02 per hour.

Centene offers comprehensive benefits including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements. Actual pay will be based on skills, experience, education, and other factors. Total compensation may include incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration 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.

Thank you for your interest in Centene. If you need accommodations during the application process, please email [e-mail].

About Us

Centene is dedicated to helping people live healthier lives through access to high-quality healthcare, innovative programs, and health solutions that support wellness.