Care Navigator

Centene Corporation•Remote-MS, MS

83d•$23 - $39•Remote

About The Position

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. This position is remote and requires the candidate to live in Mississippi. The purpose of this role is to develop, assess, and coordinate care management activities based on member needs to provide quality, cost-effective healthcare outcomes. This includes developing personalized care plans, educating members and their families on available services and benefits, and advocating for appropriate care.

Requirements

Bachelor's degree and 2-4 years of related experience.
Graduate from an Accredited School of Nursing if holding clinical licensure.
Equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
For Mississippi Magnolia Health plan: Bachelor's or Master's degree in a healthcare related field (social work, sociology, psychology, public health) and 2-4 years of related experience.
Must live in Mississippi.

Nice To Haves

OB experience
LSW, LMSW preferred

Responsibilities

Evaluates the needs of the member, barriers to care, and available resources, recommending and facilitating the best plan for outcomes.
Develops or contributes to the development of personalized care plans/service plans and identifies necessary providers, specialists, and community resources.
Provides psychosocial and resource support to members/caregivers and care managers to access local resources (e.g., employment, education, housing, food, participant direction, independent living, justice, foster care).
Coordinates between the member/family/caregivers and the care provider team to ensure timely access to identified care or services.
Monitors progress towards care plan goals and member status, collaborating with healthcare providers for revisions or addressing identified needs, and referring to care management as appropriate.
Collects, documents, and maintains all member information and care management activities to ensure compliance with state, federal, and third-party payer regulations.
May perform on-site visits to assess member needs and collaborate with providers or resources.
May provide education to care managers and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.
Performs other duties or responsibilities as assigned by people leader to meet member and/or business needs.
Performs other duties as assigned.
Complies with all policies and standards.