Care Navigator

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

Job summary

A leading company is looking for a Care Navigator to coordinate care management activities and assist members with personalized care plans. This remote role requires a Bachelor's degree and some experience in care coordination, with a focus on improving healthcare access for members. The position offers flexible workplace options and competitive benefits, including a pay range between $22.50 - $38.02 per hour.

Benefits

Health insurance

401K

Tuition reimbursement

Paid time off

Holidays

Flexible work options

Qualifications

• 2-4 years of related experience in care management.
• Clinical licensure preferred, equivalent experience considered.

Responsibilities

• Develop and coordinate personalized care plans for members.
• Evaluate member needs and facilitate the plan for optimal outcomes.
• Provide psychosocial support and local resource access.

Skills

Care Coordination

Discharge Planning

Resource Support

Education

Bachelor's degree

Job description

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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 Discharge Planning and/or in a hospital setting. 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.

• Evaluates the needs of the member, barriers to care, 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 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.
• Coordinates between the member, family/caregivers, and care provider team to ensure services are accessible in a timely manner.
• Monitors progress towards care plan goals and collaborates with healthcare providers for revisions or further evaluation.
• Maintains all member information and care management activities to ensure compliance with regulations.
• May perform on-site visits and provide education on procedures, healthcare provider instructions, care options, referrals, and benefits.
• Other duties as assigned to meet member and business needs.

Education/Experience: Bachelor’s degree and 2–4 years of related experience. Clinical licensure preferred if applicable. Equivalent experience may be considered.

License/Certification: Current state’s clinical license preferred. For Mississippi Magnolia Health plan: Bachelor’s or Master’s in healthcare-related field with 2–4 years of experience; LSW, LMSW preferred.

Pay Range: $22.50 - $38.02 per hour

Centene offers comprehensive benefits including health insurance, 401K, tuition reimbursement, paid time off, holidays, and flexible work options. Actual pay is 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 characteristic. Applicants with arrest or conviction records will be considered in accordance with applicable laws.

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Other, Information Technology, and Management

Industries

• Staffing and Recruiting

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