Care Coordinator

2 weeks ago

Elko, Nevada, United States SilverSummit Healthplan Full time
Job Title: Care Navigator

Join our team of dedicated professionals at SilverSummit Healthplan as a Care Navigator. In this role, you will play a vital part in transforming the health of our communities, one person at a time.

Job Summary:

We are seeking a highly skilled and compassionate Care Navigator to develop, assess, and coordinate care management activities based on member needs. As a Care Navigator, you will 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:
  • Evaluate member needs, barriers to care, and resources available, and recommend and facilitate plans for the best outcome
  • Develop or contribute to the development of personalized care plans and work to identify providers, specialists, and/or community resources needed for care
  • Provide 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
  • Coordinate between members/families/caregivers and care provider teams to ensure identified care or services are accessible to members in a timely manner
  • Monitor progress towards care plans goals and/or member status or change in condition, and collaborate with healthcare providers for care plan revision or address identified member needs, refer to care management for further evaluation as appropriate
  • Collect, document, and maintain all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
  • Perform on-site visits to assess member needs and collaborate with providers or resources, as appropriate
  • Provide education to care managers and/or members and their families/caregivers 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
  • Current state's clinical license preferred
  • Social Worker preferred

Centene 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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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