Care Navigator

Davita Inc.; Raleigh (NC); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading health company is seeking a Care Navigator responsible for overseeing Medicaid Seriously Mentally Ill members. The role involves coordinating care, making regular calls and visits, and ensuring members receive necessary treatments and services. Candidates must hold a Bachelor's Degree, with preference given to those with a background in Behavioral Health. This remote position is expected to last 3 months with ongoing hiring needs anticipated due to the intensive nature of the work.

Qualifications

• Bachelor's Degree required.
• Experience in Behavioral Health is a plus.
• Willingness to travel and conduct home visits.

Responsibilities

• Manage Medicaid Seriously Mentally Ill members, ensuring care coordination.
• Make phone calls, conduct visits, and perform assessments.
• Meet strict deadlines for documentation and care provisions.

Skills

Communication

Time Management

Organizational Skills

Education

Bachelor's Degree

Job description

Position Title: Care Navigator

Work Location: Remote SC

Assignment Duration: 3 months

Work Schedule: 8 am -5 pm

Work Arrangement: Remote to a specific state (South Carolina)

Position Summary:

• Care Navigator responsible for managing Medicaid Seriously Mentally Ill (SMI) members from ages 6-64 years, with a caseload of no more than 60 members.

Background & Context:

• This is a new line of business from the state managing Medicaid Seriously Mentally Ill (SMI) members from ages 6-64 years of age.


• Members require at least 1 phone call monthly, 1 visit every 90 days and an annual assessment.


• Case Navigators are allowed a caseload of no more than 60 members due to the intensive nature of the members.


• Purpose of plan to assure members are receiving all medications, attending all MD/mental health clinic appts, have adequate housing and transportation to attend all appts.


• Since there is a cap on the amount of cases a CN can have we anticipate ongoing hiring needs.


• CN are responsible for the unable to locate population and will be conducting all research necessary to locate the members.

Key Responsibilities:

• CN will make calls, visits and coordinate care for members.


• Our work is driven by metrics from the state that all are time driven.


• They will be issued a company owned computer and cellphone.


• The team interacts with one another thru Teams, calls or texts.


• All team members have "buddies" that also work in the same area and are available for co-visits.

Education/Certification	Required: Bachelor's Degree, etc.	Preferred: Certified Community Health Worker/
Licensure	Required:	Preferred:
Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: Bachelor's Degree Nice to haves: A background in Behavioral Health (BH) is helpful. Disqualifiers: Unwilling to do blind visit. Must be willing to travel. Performance indicators: Able to meet strict deadlines related to documentation/visits/calls Best vs. average: