Senior Care Navigator

Sunshine Health; Orlando (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Senior Care Navigator to transform healthcare for its 28 million members. This remote role requires a candidate with a strong background in pediatric care and care coordination. You will develop personalized care plans, advocate for members, and collaborate with healthcare providers to ensure timely access to services. The position offers a competitive salary and comprehensive benefits, emphasizing workplace flexibility. Join a team dedicated to improving healthcare access and quality for communities across the nation.

Benefits

Health Insurance

401K

Stock Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Options

Qualifications

• 4+ years of Pediatric experience and LPN licensure required.
• Experience in developing care plans and coordinating services.

Responsibilities

• Assess and coordinate care management activities for members.
• Educate members and families on available services and benefits.
• Monitor progress towards care plan goals and collaborate with providers.

Skills

Care Coordination

Patient Advocacy

Healthcare Management

Psychosocial Support

Education

Bachelor’s Degree

Clinical Licensure

Job description

Join to apply for the Senior Care Navigator role at Sunshine Health.

1 week ago Be among the first 25 applicants.

Get AI-powered advice on this job and more exclusive features.

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.

Location: Remote role. Candidate must reside in Florida, 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 personalized care/service plans for members and educates members and their families/caregivers on available services and benefits to improve healthcare access and quality through advocacy and coordination.

• Develops or contributes to ongoing care plans and identifies providers, specialists, and community resources needed for care.
• Coordinates with 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 to address member needs.
• Provides psychosocial and resource support to members/caregivers and care managers, helping access 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 appropriate care plans.
• Collaborates with healthcare partners to facilitate member care and determine if revisions are needed.
• Maintains all member information and care management activities for compliance.
• May perform on-site visits and provide education on procedures, care options, and healthcare benefits.
• Serves as a Subject Matter Expert (SME) and may serve as a preceptor for new staff.
• Other duties as assigned to meet member and business needs.
• Ensures compliance with policies and standards.

Education/Experience

Bachelor’s degree and 4–6 years of related experience. Clinical licensure (e.g., Nursing) preferred or equivalent experience demonstrating applicable knowledge and skills.

License/Certification

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

Pay Range: $26.50 - $47.59 per hour.

Centene offers comprehensive benefits including competitive pay, health insurance, 401K, stock plans, tuition reimbursement, paid time off, holidays, and flexible work options (remote, hybrid, field, or office). Actual pay varies based on skills, experience, education, and other factors. Total compensation may include incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristic. Qualified applicants with arrest or conviction records will be considered per applicable laws.

Additional Details

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Other, Information Technology, Management
• Industries: Hospitals and Healthcare, Insurance

Referrals can double your chances of interviewing at Sunshine Health. Sign in to set job alerts for “Navigator” roles.