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Care Navigator
2 months ago
Join Centene Corporation, a leading healthcare company, as a Care Navigator and make a meaningful difference in the lives of our 28 million members. As a Care Navigator, you will play a vital role in transforming the health of our communities, one person at a time.
Job Summary:We are seeking a highly motivated and compassionate Care Navigator to develop, assess, and coordinate care management activities based on member needs. Your primary responsibility will be to provide quality, cost-effective healthcare outcomes by developing personalized care plans and educating members and their families/caregivers on services and benefit options available to improve healthcare access and receive appropriate high-quality care through advocacy and care coordination.
Key Responsibilities:- Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve healthcare access and receive appropriate high-quality care through advocacy and care coordination.
- Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome.
- Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care.
- Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans.
- Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner.
- May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate.
- Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
- May perform on-site visits to assess member's needs and collaborate with providers or resources, as appropriate.
- May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.
- Requires a Bachelor's degree and 2 – 4 years of related experience. Requirement is 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.
Centene Corporation offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is 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.
