Senior Care Navigator

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

Job summary

A leading healthcare organization is seeking a Senior Care Navigator to improve access to quality care for its members. This remote position requires extensive experience in pediatric care and the ability to develop personalized care plans. The successful candidate will coordinate between members and healthcare providers to ensure consistent, high-quality support, while navigating local resources effectively.

Benefits

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Flexible work schedules

Qualifications

• 4 years of Pediatric experience required.
• Clinical licensure as a Nurse preferred.

Responsibilities

• Develops or contributes to ongoing care plans for members.
• Coordinates communication between members, families, and care providers.
• Monitors progress towards care plan goals and revises as necessary.

Skills

Patient Advocacy

Care Coordination

Communication

Psychosocial Support

Education

Bachelor’s degree

Job description

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You could be the one who changes everything for our 28 million members. 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 a fresh perspective on workplace flexibility.

• Remote role. Candidate must reside in Florida in Hardee County, Highlands County, Hillsborough County, Polk County, or surrounding areas. Must have four years or more 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.

• Develops or contributes to ongoing care plans and identifies providers, specialists, and community resources needed for care.
• Coordinates and manages communication between the member, family/caregivers, and care providers to ensure timely access to services.
• Monitors progress towards care plan goals and collaborates with healthcare providers for revisions or further evaluation.
• Provides psychosocial and resource support to members/caregivers and care managers, helping access local resources such as employment, housing, food, and other services.
• Identifies barriers to care and implements appropriate interventions for members with higher care needs.
• Reviews referrals and assessments to develop suitable care plans for members with complex needs.
• Collaborates with healthcare partners to ensure member needs are met and revise care plans as necessary.
• Documents all member information and activities to ensure compliance with regulations.
• May perform on-site visits and provide education on procedures, care options, and benefits.
• Serves as a Subject Matter Expert (SME) and may serve as a preceptor for new staff.
• Performs other duties as assigned to meet business needs.

Education/Experience: Requires a Bachelor’s degree and 4–6 years of related experience. Clinical licensure as a Nurse is preferred. Equivalent experience may be considered.

License/Certification:

• Current state clinical license preferred.
• For CMS Florida licensed practical nurses with pediatric experience or Master’s in social work with pediatric care experience. Up to 80% local travel may be required.

Pay Range: $26.50 - $47.59 per hour

Centene offers comprehensive benefits including health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, and flexible work schedules. Actual pay depends on skills, experience, and education. Total compensation may include incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will be considered regardless of race, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristic. Applicants with criminal records will be considered in accordance with applicable laws.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Other, Information Technology, Management

Industries

• Staffing and Recruiting