Care Navigator & Care Coordination Specialist

CareSource Nevada Co.; Indianapolis (IN); On-site; USD 63,000 - 100,000; Full time

Job summary

CareSource is seeking a Care Manager to collaborate with an interdisciplinary care team and providers to improve quality and meet member needs through culturally competent care coordination. You will conduct assessments, plan person-centered care, and support members across behavioral, physical, and social determinants of health.

Responsibilities include facilitating ICT meetings, updating care plans, addressing barriers, and educating members on options and resources, with a focus on equity and

Qualifications

• Requires nursing, social work, or related clinical licensure and experience.
• Education must align with care coordination and case management roles.
• Experience with Medicaid/Medicare managed care is preferred.
• Strong knowledge of CMSA standards and HEDIS measures is desired.
• Proven ability to coordinate across interdisciplinary teams.

Responsibilities

• Coordinate care plans with ICT and providers to meet member needs.
• Assess psychosocial factors and health determinants with cultural awareness.
• Facilitate ICT meetings and member outreach through telephonic/electronic communication.
• Develop and update person-centered ICP in collaboration with the ICT.
• Identify barriers to care and implement evidence-based interventions.
• Educate members and supports about options, benefits, and resources.
• Monitor progress and document outcomes per standards.
• Collaborate with facilities and community partners post-discharge.

Skills

Quality & HEDIS

MS Office

Effective communication

Multitasking

Healthcare laws

Ethics

CMSA standards

Member advocacy

Cultural sensitivity

Research literacy

Community resources

Critical thinking

Decision making

Time management

Education

Associates of Science (A.S) degree

Bachelor's degree in healthcare field

Master's or Bachelor's with clinical licensure

Equivalent years of relevant work experience

Three years nursing/social work/counseling/healthcare experience

Three years Medicaid/Medicare managed care experience

Three years maternity, NICU or postpartum experience

Job description

CareSource is seeking a Care Manager to collaborate with an interdisciplinary care team and providers to improve quality and meet member needs through culturally competent care coordination. You will conduct assessments, plan person-centered care, and support members across behavioral, physical, and social determinants of health.

Responsibilities include facilitating ICT meetings, updating care plans, addressing barriers, and educating members on options and resources, with a focus on equity and