Pediatric Health Care Navigator

6 days ago


Philadelphia, Pennsylvania, United States AmeriHealth Caritas Full time
Job Overview
Care for medically fragile pediatric patients by coordinating services and communicating with members, caregivers, providers, and internal teams. Collaborate with healthcare professionals to create comprehensive plans that address the unique needs of each patient.

Key Responsibilities:
  • Conduct assessments to determine care coordination needs.
  • Create person-centered plans to assist members in achieving optimal health.
  • Navigate physical, behavioral health, and social services to ensure high-quality, cost-effective care.
  • Facilitate communication between members, caregivers, providers, and internal teams.

Requirements:
  • Bachelor's Degree in Nursing or a health-related field.
  • At least 3+ years of clinical experience working with medically fragile pediatric patients in acute care, home care, or special needs clinics.
  • Experience in case management, preferably telephonic within a managed care organization.
  • Demonstrated proficiency in Windows and MS Office applications.
  • A valid driver's license and car insurance.

What We Offer:

A competitive salary of $65,000 - $85,000 per year, flexible work options including remote and hybrid schedules, and a comprehensive benefits package that includes health insurance coverage, paid time off, and tuition reimbursement.



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