Care Navigator

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

Job summary

A leading health organization is seeking a care manager to enhance the health of its members through coordinated care. This remote position requires developing care management activities for behavioral health, ensuring quality healthcare outcomes through advocacy and education.

Benefits

Health insurance

401K

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• Requires Bachelor's degree with 2-4 years relevant experience.
• Clinical licensure preferred if from nursing background.

Responsibilities

• Develop and coordinate care management activities for members.
• Evaluate member needs and facilitate a personalized care plan.

Skills

Care Coordination

Advocacy

Psychosocial Support

Education

Bachelor’s degree

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.

***POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN MISSOURI***

***THIS POSITION WILL WORK WITH THE BEHAVIORAL HEALTH POPULATION***

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 plan 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 plan goals and collaborate with healthcare providers for revisions or to address member needs, referring to care management as needed
• Collects, documents, and maintains all member information and activities to ensure compliance with regulations
• May perform on-site visits to assess needs and collaborate with providers or resources
• May provide education to care managers and/or members and their families/caregivers on procedures, instructions, care options, referrals, and benefits
• Other duties as assigned to meet member and business needs
• Performs other duties as assigned and complies 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 preferred if holding clinical licensure, or equivalent experience reflecting the position's scope and skills.

License/Certification:

• Current state’s clinical license preferred

Pay Range: $22.50 - $38.02 per hour

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work schedules (remote, hybrid, field, or office). Actual pay will be based on skills, experience, education, and other factors, including employment status. Benefits may vary by eligibility.

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, or other protected characteristics.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.

Welcome

Thank you for your interest in Centene. We’re glad you’re taking the next step in your career. For accommodations, please email [e-mail].

About Us

Centene is dedicated to helping people live healthier lives by providing access to high-quality healthcare, innovative programs, and a wide range of health solutions to support families and individuals.