Care Navigator - OB

Centene Corp.; Northern (KY); Híbrido; USD 48.000 - 81.000; Jornada completa

Descripción de la vacante

Centene Corp. seeks a Care Navigator to develop, assess, and coordinate care management for members, with a focus on educating pregnant members and families about services and benefits. The role is remote within Missouri, with typical hours Monday–Friday, 8am–5pm, and Missouri licensure preferred.

Bachelor’s in nursing or related field plus 2–4 years of care coordination experience are expected. Strong collaboration with care teams and providers is required to ensure timely access to services,

Formación

• Bachelor’s degree required; nursing license preferred.
• 2–4 years of related care coordination/ case management experience.
• Missouri license preferred or able to obtain/maintain licensure in MO.

Responsabilidades

• Develop and coordinate care management activities based on member needs.
• Educate members and families on services and benefit options.
• Collaborate with providers to identify resources and services.
• Document and maintain member information to ensure regulatory compliance.
• Monitor progress toward care plan goals and adjust as needed.
• Conduct on-site visits when appropriate and provide education to care managers.

Conocimientos

Care coordination

Patient education

Educación

Bachelor’s degree

Nursing license preferred

Descripción del empleo

## Care Navigator - OBApply: Remote-MO: Full time: Posted Today: 1668853**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 for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This role provides education and support to pregnant members. A Missouri LPN license is strongly preferred. The work schedule is Monday - Friday, 8am - 5pm.* 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. **License/Certification:*** Current state’s clinical license preferredPay Range: $22.94 - $38.79 per hour