Care Navigator Specialist
4 weeks ago
Join Centene Corporation, a leading healthcare company, as a Care Navigator and play a vital role in transforming the health of our communities. As a Care Navigator, you will be responsible for developing, assessing, and coordinating care management activities to provide quality, cost-effective healthcare outcomes.
Key Responsibilities:
- Evaluate member needs, barriers to care, and resources available to recommend and facilitate the best outcome.
- Develop or contribute to personalized care plans, identify providers, specialists, and community resources needed for care.
- Provide psychosocial and resource support to members, caregivers, and care managers to access local resources or services.
- Coordinate between members, caregivers, and care providers to ensure identified care or services are accessible in a timely manner.
- Monitor progress towards care plans, collaborate with healthcare providers for revisions, and refer to care management for further evaluation as needed.
- Collect, document, and maintain member information and care management activities to ensure compliance with state, federal, and third-party payer regulators.
- Perform on-site visits to assess member needs and collaborate with providers or resources as necessary.
- Provide education to care managers and members on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.
Requirements:
- Bachelor's degree and 2-4 years of related experience.
- Graduate from an Accredited School of Nursing if holding clinical licensure.
- Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the level of this position.
Benefits:
- Competitive pay: $37.25 per hour.
- Comprehensive benefits package, including health insurance, 401K, and stock purchase plans.
- Tuition reimbursement, paid time off, and a flexible approach to work with remote, hybrid, field, or office work schedules.
Centene is an equal opportunity employer committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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