Care Navigator

Centene Corporation; Mississippi; Hybrid; USD 32,000 - 54,000; Full time

Benefits offered by this job

Remote work options

Flexible schedules

Health insurance

Tuition reimbursement

401K

Stock purchase plans

Job summary

Centene Corporation in Mississippi is seeking a remote Care Manager to develop, assess, and coordinate care management activities for our members. You will create personalized care plans and educate members and families on available services to improve access and outcomes.

The role requires a bachelor’s degree and 2–4 years of related experience; nursing licensure is considered if applicable. You’ll work with Foster Care populations and collaborate with providers to ensure timely care and

Qualifications

• Requires Bachelor's degree and 2–4 years of related experience.
• Graduate from an Accredited School of Nursing if holding clinical licensure.
• Will work with Foster Care population.

Responsibilities

• Evaluates member needs and barriers to care to recommend plans.
• Develops personalized care/service plans and coordinates providers.
• Provides psychosocial and resource support to members and caregivers.
• Coordinates between members, families and care teams to ensure timely access.
• Monitors progress toward goals and collaborates on plan revisions.
• Collects and maintains member information to ensure regulatory compliance.
• May perform on-site visits to assess needs and collaborate with providers.
• Educates care managers and members on procedures and benefits.
• Performs other duties as assigned and complies with policies.

Skills

Care coordination

Member education

Advocacy

Education

Bachelor's or Master's in healthcare

LSW/LMSW preferred

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.

• Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome
• Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or 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 assessment and plans
• 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
• May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate
• Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate
• May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits
• Other duties or responsibilities as assigned by people leader to meet the member and/or business needs
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience: Requires a Bachelor's degree and 2 - 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Will work with Foster Care population.

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.

Location: Position is remote. Must live in Mississippi.

Pay Range: $22.94 - $38.79 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 a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act