Care Navigator

Centene Corp.; Mississippi; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a compassionate care coordinator to enhance the health of communities. In this remote role, you will develop personalized care plans, assess member needs, and provide psychosocial support to ensure access to quality healthcare. You will collaborate with healthcare providers and community resources, making a meaningful impact on the lives of 28 million members. With a focus on flexibility and comprehensive benefits, this position offers a chance to thrive in a supportive environment while driving positive healthcare outcomes.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Arrangements

Qualifications

• Bachelor's degree and 2-4 years of related experience required.
• Graduation from an accredited School of Nursing is required if holding clinical licensure.

Responsibilities

• Develops personalized care plans and coordinates care management activities.
• Monitors progress towards care plan goals and collaborates with healthcare providers.

Skills

Care Coordination

Psychosocial Support

Healthcare Advocacy

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.

***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, 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 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 needed.
6. Maintains all member information and care management activities in compliance with regulations.
7. May perform on-site visits to assess needs and collaborate with providers or resources.
8. Provides education to care managers and/or members and their families/caregivers on procedures, instructions, care options, referrals, and benefits.
9. Performs other duties as assigned to meet member and business needs.
10. Ensures compliance with all policies and standards.

Education/Experience:

Bachelor’s degree and 2–4 years of related experience required. Graduation from an accredited School of Nursing is required if holding clinical licensure. Equivalent experience demonstrating applicable knowledge, duties, scope, and skill is also 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 related experience; LSW, LMSW preferred.

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 and holidays, with flexible work arrangements (remote, hybrid, field, or office). Actual pay depends 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 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.

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

About Us

Centene is dedicated to helping people live healthier lives through high-quality healthcare, innovative programs, and comprehensive health solutions to help families and individuals stay well and get well.