Care Navigator

Centene Corporation • Remote-NC, NC

1d • $23 - $39

About The Position

Develops, assesses, and coordinates care management activities based on member needs to support quality, cost-effective healthcare outcomes. Develops or contributes to personalized care plans and educates members and their families or caregivers about available services and benefits to improve healthcare access and support appropriate, high-quality care through advocacy and coordination. Qualified candidates must live in North Carolina and be authorized to work in the U.S. without current or future employment-based visa sponsorship. Experience with children ages 0–5 and resource coordination is preferred.

Requirements

• Bachelor’s degree and 2–4 years of related experience.
• If holding clinical licensure, graduation from an accredited school of nursing is required; equivalent experience acquired through applicable knowledge, duties, scope, and skills reflective of the position level may qualify.
• Must live in North Carolina.
• Must be authorized to work in the United States without current or future employment-based visa sponsorship.

Nice To Haves

• Experience with children ages 0–5.
• Experience with resource coordination.
• Current state clinical license.

Responsibilities

• Evaluate members’ needs, barriers to care, and available resources, and recommend and facilitate plans to support the best outcomes.
• Develop or contribute to personalized and ongoing care plans or service plans, identifying providers, specialists, and community resources needed for care.
• Provide psychosocial and resource support to members, caregivers, and care managers to access local services, including employment, education, housing, food, participant direction, independent living, justice, and foster care resources.
• Coordinate between members or their families and caregivers and the care provider team to help ensure identified care and services are accessible in a timely manner.
• Monitor progress toward care plan or service plan goals and member status or changes in condition as needed; collaborate with healthcare providers on plan revisions or identified needs, and refer to care management for further evaluation as appropriate.
• Collect, document, and maintain member information and care management activity records to ensure compliance with applicable state, federal, and third-party payer requirements.
• Conduct on-site visits when needed to assess member needs and collaborate with providers or resources.
• Educate care managers, members, and families or caregivers on procedures, provider instructions, care options, referrals, and healthcare benefits as needed.
• Perform other duties as assigned to meet member or business needs and comply with applicable policies and standards.

Benefits

• Comprehensive benefits package including competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off, and holidays.
• Flexible approach to work with remote, hybrid, field, or office work schedules.
• Total compensation may include additional incentives, and benefits may be subject to program eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level