Senior Care Navigator

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

Job summary

An established industry player is seeking a Senior Care Navigator to enhance healthcare access for its members. In this pivotal role, you will assess and coordinate personalized care plans, ensuring quality outcomes while advocating for members' needs. With a focus on collaboration and support, you will work closely with families, caregivers, and healthcare teams to facilitate timely access to services. This position offers competitive pay and benefits, along with the opportunity to make a significant impact in the lives of individuals within the community. If you are passionate about patient care and looking to join a dynamic team, this is the perfect opportunity for you.

Benefits

Health Insurance

401K

Stock Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Arrangements

Qualifications

• 4+ years of pediatric experience and LPN licensure required.
• Bachelor's degree with related experience preferred.

Responsibilities

• Develop and coordinate care management activities for members.
• Collaborate with healthcare providers to monitor care goals.
• Provide education and psychosocial support to members.

Skills

Pediatric Care

Care Coordination

Patient Advocacy

Psychosocial Support

Education

Bachelor's Degree

Accredited Nursing 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.

Candidate Requirements

• Reside in Florida, specifically in Orange County, Seminole County, Osceola County, Brevard County, or surrounding areas.
• Must have four or more years of Pediatric experience and LPN licensure.

Position Purpose

Assess, plan, implement, and coordinate care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develop or contribute to personalized care plans and educate members and their families on available services and benefits to improve healthcare access and quality through advocacy and coordination.

Key Responsibilities

• Develop or contribute to ongoing care plans and identify providers, specialists, and community resources.
• Coordinate between members, families, caregivers, and care teams to ensure timely access to services.
• Monitor progress towards care goals and collaborate with healthcare providers for plan revisions.
• Provide psychosocial support and resource guidance to members and caregivers.
• Identify barriers to care and implement appropriate interventions.
• Review referral information to assist in developing care plans for members with higher needs.
• Collaborate with healthcare partners to ensure member needs are met and revise plans as necessary.
• Maintain all member information and activities in compliance with regulations.
• May conduct on-site assessments and provide education on procedures, options, and benefits.
• Serve as a Subject Matter Expert and support team training or onboarding.
• Perform other duties as assigned.

Education and Experience

Bachelor’s degree with 4-6 years of related experience; nursing graduates must have an accredited nursing degree. Equivalent experience may be considered.

Licenses and Certifications

• Current state clinical license preferred.
• For CMS Florida licensed practical nurses: minimum of four years pediatric experience, or a Master’s in social work with at least one year of pediatric care experience. Travel may be required.

Compensation and Benefits

Pay range: $26.50 - $47.59 per hour. Benefits include health insurance, 401K, stock plans, tuition reimbursement, paid time off, and flexible work arrangements. Compensation depends on skills, experience, and other factors.

Additional Information

Centene is an equal opportunity employer committed to diversity. All qualified applicants will be considered without regard to protected characteristics. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.