Senior Care Navigator

RemoteWorker US; Gomez (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading organization is seeking a Senior Care Navigator to assess and coordinate care for members in Florida. The role involves developing care plans, managing communication, and ensuring quality healthcare access. Candidates should possess strong pediatric experience and relevant licensure, with a commitment to improving community health outcomes. Competitive benefits and a flexible working environment are provided.

Benefits

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Flexible work arrangements

Qualifications

• Four years pediatric experience required.
• Licensed Practical Nurse (LPN) license preferred.

Responsibilities

• Develops and coordinates care management activities.
• Monitors progress towards care goals for members.
• Collaborates with healthcare providers and families.

Skills

Communication

Coordination

Advocacy

Education

Bachelor's degree

Master's in social work

Job description

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Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including workplace flexibility.

Position Details:

• Remote role. Candidate must reside in Florida, specifically in Collier County, Hendry County, or surrounding areas.
• Must have four or more years of Pediatric experience and LPN licensure.

Position Purpose:

Assesses, plans, implements, 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 available services and benefits to improve healthcare access and quality care through advocacy and coordination.

Key Responsibilities:

1. Develops or contributes to ongoing care plans and identifies necessary providers, specialists, and community resources.
2. Coordinates and manages communication between members, families, caregivers, and care teams to ensure timely access to services.
3. Monitors progress towards care goals and collaborates with healthcare providers for plan revisions.
4. Provides psychosocial and resource support to members and caregivers, assisting with access to local resources.
5. Identifies barriers to care and implements appropriate interventions for members with higher care needs.
6. Reviews referrals and assessments to develop appropriate care plans for high-need members.
7. Collaborates with healthcare partners to meet member needs and revise care plans as necessary.
8. Maintains all member information and care activities to ensure regulatory compliance.
9. May perform on-site assessments and provide education on procedures, benefits, and care options.
10. Serves as a Subject Matter Expert (SME) and may serve as a preceptor for new staff.
11. Performs other duties as assigned to meet business and member needs.
12. Adheres to all policies and standards.

Qualifications:

• Bachelor’s degree with 4-6 years of related experience or equivalent clinical experience.
• Licensed Practical Nurse (LPN) license preferred, with at least four years pediatric experience, or a Master’s in social work with pediatric care experience.

Licenses/Certifications:

• Current state clinical license preferred.
• May require up to 80% local travel.

Compensation & Benefits:

Pay range: $26.50 - $47.59 per hour. Benefits include health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements.

Additional Information:

Centene is an equal opportunity employer committed to diversity. All qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Job Details:

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job functions: Other, IT, Management
• Industries: Staffing and Recruiting

Location: Palm Beach Gardens, FL