Care Navigator

Centene Corporation

1d•$23 - $39•Hybrid

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 requires WA State Residency. The purpose of this position is to develop, assess, and coordinate care management activities based on member needs to provide quality, cost-effective healthcare outcomes. The role involves developing or contributing to personalized care plans, educating members and their families/caregivers on services and benefit options, evaluating member needs, barriers to care, and available resources, and recommending/facilitating plans for the best outcomes. It also includes coordinating between members/families/caregivers and the care provider team to ensure timely access to identified care or services.

Requirements

Requires a Bachelor’s degree and 2 – 4 years of related experience.
Graduate from an Accredited School of Nursing if holding clinical licensure.
WA State Residency.

Nice To Haves

Current state’s clinical license preferred

Responsibilities

Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes.
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 health care 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.
Other duties or responsibilities as assigned by people leader to meet the member and/or business needs.
Performs other duties as assigned.
Complies with all policies and standards.