Field-Based Care Navigator & Care Coordinator

centene; Kentucky; On-site; USD 32,000 - 53,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules (remote/field)

Job summary

Centene is seeking a field-based Care Manager to develop, assess, and coordinate care management activities to improve health outcomes and access to services. The role involves creating personalized care plans, educating members and families, and coordinating with multidisciplinary teams across local providers.

The ideal candidate holds a Bachelor's degree with 2–4 years of related experience; nursing licensure preferred. Schedule is M–F, 8:00 AM–5:00 PM, with pay range $22.94-$38.79 per hour.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Communication skills

Customer service

Multidisciplinary teamwork

Problem solving

Computer proficiency

Organizational skills

Time management

Self-motivation

Education

Bachelor's degree

Nursing licensure preferred

Job description

Centene is seeking a field-based Care Manager to develop, assess, and coordinate care management activities to improve health outcomes and access to services. The role involves creating personalized care plans, educating members and families, and coordinating with multidisciplinary teams across local providers.

The ideal candidate holds a Bachelor's degree with 2–4 years of related experience; nursing licensure preferred. Schedule is M–F, 8:00 AM–5:00 PM, with pay range $22.94-$38.79 per hour.