Care Navigator

Centene Corporation; Oklahoma; Hybrid; USD 32,000 - 53,000; Full time

Benefits offered by this job

Health insurance

401K plan

Tuition reimbursement

Paid time off

Flexible work arrangements

Job summary

Centene Corporation in Oklahoma recruits for a field-based care management role focused on assessing member needs and coordinating services to deliver quality, cost-effective care outcomes. The position requires a Bachelor’s degree and 2–4 years of related experience; nursing licensure is preferred where applicable.

It is a 25% travel role with a schedule Monday–Friday, 8:00 AM–5:00 PM. You will educate members and families, collaborate with providers, and maintain compliance with policies while

Qualifications

• Bachelor’s degree with 2–4 years of related experience; nursing licensure required if applicable.
• Strong assessment, communication, and customer service skills.
• Familiarity with telephonic care coordination and working with vulnerable populations.

Responsibilities

• Evaluate member needs, barriers to care, resources, and arrange the best plan.
• Develop or contribute to personalized care plans and identify providers.
• Provide psychosocial support to members and caregivers.
• Coordinate between member/family and care team for timely services.
• Monitor progress toward goals and revise plans with providers.
• Document all member information to ensure compliance with state, federal and payer regulations.
• Conduct on-site visits to assess needs and collaborate with providers.
• Educate members and caregivers on procedures, options and benefits.
• Other duties as assigned and ensure adherence to policies and standards.

Skills

Assessment skills

Excellent communication

Customer service

Telephonic duties

Experience w/ vulnerable populations

Education

Bachelor’s degree

Graduate from Accredited School of Nursing

Tools

Computer proficiency

Job description

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.

Key Details: Applicants must reside in Alfalfa, Beaver, Blaine, Canadian, Cimarron, Custer, Dewey, Ellis, Garfield, Grant, Harper, Kay, Kingfisher, Logan, Major, Noble, Payne, Texas, Woods, or Woodward Counties, Oklahoma. This is a field-based position, approximately 25%, requiring strong assessment skills, excellent communication and customer service skills, experience working with vulnerable populations, computer proficiency, and comfort with telephonic duties. Previous foster care and/or adoption experience is highly preferred. The work schedule is Monday through Friday, 8:00 AM to 5:00 PM.

• 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.

Pay Range: $22.94 - $38.79 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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