Care Navigator

RemoteWorker US; Mooreville (MS); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in healthcare staffing is seeking a Care Navigator to coordinate member care management activities. This entry-level full-time role involves developing personalized care plans, advocating for members, and collaborating with healthcare providers to ensure timely access to quality care. A Bachelor's degree in a healthcare-related field is required, and having a clinical license is preferred. Competitive hourly pay and a comprehensive benefits package are offered.

Benefits

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• Requires a Bachelor's degree and 2 – 4 years of related experience.
• Graduation from an Accredited School of Nursing if holding clinical licensure is preferred.
• Current state’s clinical license preferred; LSW, LMSW preferred.

Responsibilities

• Develops, assesses, and coordinates care management activities based on member needs.
• Facilitates and monitors care plans/services while collaborating with care providers.
• Documents and maintains member information to ensure compliance with regulations.

Skills

Care Coordination

Advocacy

Psychosocial Support

Education

Bachelor's degree in healthcare related field

Job description

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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
• 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 if holding clinical licensure. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the level of this position.

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 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. Total compensation may also include additional incentives.

Centene is an equal opportunity employer that values diversity and considers all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics by law. Qualified applicants with arrest or conviction records will be considered per applicable laws.

Additional Details:

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Other, Information Technology, Management
• Industries: Staffing and Recruiting