Senior Care Navigator

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

Job summary

A leading organization in healthcare is seeking a Senior Care Navigator to improve healthcare access and quality for members. In this remote role, you will coordinate care, develop personalized plans, and provide support to families. A Bachelor’s degree and experience in pediatric care are required, alongside a valid nursing licensure.

Benefits

Health insurance

401K

Tuition reimbursement

Paid time off

Flexible work options

Qualifications

• 4-6 years of related experience.
• Clinical licensure as a Nurse preferred.

Responsibilities

• Assess and coordinate care management activities based on member needs.
• Develop care plans and identify community resources.
• Provide psychosocial support to members.

Skills

Pediatric experience

Care coordination

Patient advocacy

Education

Bachelor’s degree

Job description

Join to apply for the Senior Care Navigator role at RemoteWorker US.

10 hours ago Be among the first 25 applicants.

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.

Position Details:

• Remote role. Candidate must reside in Florida, in Miami-Dade 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 through advocacy and care coordination.

• Develops or contributes to ongoing care plans and identifies providers, specialists, and community resources needed for care.
• Coordinates between members, families/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, assisting with access to local resources.
• Identifies barriers for care coordination and implements appropriate interventions for members with higher care needs.
• Reviews referrals and assessments to develop or assist in developing care plans for high-need members.
• Collaborates with healthcare partners to ensure member needs are met and revise care plans as needed.
• Maintains all member information and care activities in compliance with regulations.
• May perform on-site assessments and provide education to care managers and members.
• Serves as a Subject Matter Expert and supports team training.
• Performs other duties as assigned and complies with policies.

Education/Experience: Bachelor’s degree and 4–6 years of related experience. Clinical licensure as a Nurse 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 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 plans, tuition reimbursement, paid time off, and flexible work options. Actual pay depends on skills, experience, and other factors. Total compensation may include incentives.

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, or other protected characteristics.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.

Additional Details:

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

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