Care Navigator-Foster Care

Centene Management Company LLC; Illinois; Hybride; USD 32 000 - 53 000; Plein temps

Avantages offerts par ce poste

competitive pay

Health insurance

401K and stock purchase plans

tuition reimbursement

paid time off plus holidays

flexible approach to work with remote,

hybrid, field or office work schedules

Résumé du poste

Centene Management Company LLC is seeking a Navigator to develop, assess, and coordinate care management activities for members in Illinois. The role primarily works remote (75%) with travel (25%) to listed counties and requires a Monday–Friday schedule in the Central time zone, including occasional evenings and weekends based on need.

The role involves developing personalized care plans, educating members and caregivers on services, coordinating with care teams, and maintaining member records

Qualifications

• Requires a Bachelor’s degree and 2 - 4 years of related experience.
• Graduate from an Accredited School of Nursing if holding clinical licensure.
• Equivalent experience acquired through related duties and responsibilities.

Responsabilités

• Evaluates member needs, barriers to care, resources available, and recommends the best care plan.
• Develops or contributes to personalized care plans and identifies providers or community resources as needed.
• Provides psychosocial and resource support to members and caregivers to access local services.
• Coordinates between member/family and care provider team to ensure timely access to services.
• Monitors progress towards care plan goals and collaborates with healthcare providers for revisions when needed.
• Collects, documents, and maintains all member information to ensure regulatory compliance.
• May perform on-site visits and provide education to care managers and members.

Formation

Bachelor’s degree

Description du poste

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

This position is remote/work from home approximately 75% of the time and travels approximately 25% of the time in assigned Illinois counties: Champaign, Christian, Coles, Jersey, Logan, Macon, Macoupin, Morgan, Sangamon; applicants should reside in one of these counties as well.

The work schedule is Monday - Friday 8am - 5pm central time zone and this position requires scheduling flexibility, including the ability to adjust work hours to support occasional evening and weekend responsibilities based on operational and stakeholder needs.

Navigator will visit local DCFS/CWCA office twice a week in one or more of the following Illinois counties: Champaign, Christian, Coles, Jersey, Logan, Macon, Macoupin, Morgan, Sangamon.

Responsibilities

Child Welfare Employee License (CWEL) is strongly preferred.

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.

Special Roles

For Illinois YouthCare Plan Foster Care Liaison Roles only: Will be stationed on‑site and hosted by DCFS Regional Offices throughout the State to provide administrative coordination with DCFS staff and stakeholders. Will be available during regular work hours to communicate with and to provide education and training to DCFS staff and stakeholders regarding managed care, and to engage in immediate problem resolution with Contractor's administrative staff. Will ensure that issues or barriers reported to a liaison must be addressed and the resolution communicated to appropriate DCFS staff or stakeholder.

Pay Range

$22.94 - $38.79 per hour

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• 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.

About Centene

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. Its work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Diversity and Inclusion

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.

Centene is committed to helping people live healthier lives.