Remote Member Care Navigator & Health Advocate

Centene Corporation; Florida; Hybrid; USD 37,000 - 67,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K plans

Tuition reimbursement

Paid time off

Flexible work options

Job summary

Centene Corporation is seeking a Community Health Advocate to bridge members with the healthcare system, identify care gaps, and connect individuals with services. You will conduct outreach in the community and perform assessments to support care coordination.

This role emphasizes member education, collaboration with providers, and documentation of interactions. A background in social work, public health, or nursing and experience with Medicaid/Medicare quality measures is required; flexible

Qualifications

• Strong communication and interpersonal skills
• Experience with health plans and community resources
• Familiarity with Medicaid/Medicare quality measures

Responsibilities

• Conduct outreach to members in the community to identify care gaps and connect them with appropriate healthcare services and resources.
• Perform home visits or community-based assessments to evaluate member needs and identify social determinants of health that may prevent members from accessing preventive or follow-up care, and facilitate care coordination.
• Serve as a member advocate by helping individuals navigate complex healthcare and social service systems.
• Collaborate with providers to share quality performance data and support improvement initiatives.
• Educate members on preventive care, chronic condition management, and available community resources.
• Document member interactions, care gap closures, and referrals in the appropriate systems.
• Partner with internal departments to align efforts and improve member outcomes.
• Monitor and report on outreach effectiveness and care gap closure metrics.
• Maintain compliance with state and federal regulations and organizational policies.
• Participate in seasonal campaigns and quality initiatives to improve member engagement and health outcomes.
• Serve as a community ambassador, building relationships with local organizations and stakeholders.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Communication skills

Interpersonal skills

Education

Bachelor's Degree Social Work, Public Health, Nursing, or related field; or equivalent experience

2+ years In community health or healthcare quality required

Experience working with health plan members and navigating community resources required

Familiarity with Medicaid / Medicare programs and quality measures (e.g., HEDIS) required

Job description

Centene Corporation is seeking a Community Health Advocate to bridge members with the healthcare system, identify care gaps, and connect individuals with services. You will conduct outreach in the community and perform assessments to support care coordination.

This role emphasizes member education, collaboration with providers, and documentation of interactions. A background in social work, public health, or nursing and experience with Medicaid/Medicare quality measures is required; flexible