Care Navigator

Centene Corporation•Remote-OK, OK

4d•$23 - $39•Onsite

About The Position

The Care Navigator develops, assesses, and coordinates care management activities based on member needs to support quality, cost-effective healthcare outcomes. The role develops or contributes to personalized care plans and educates members and their families or caregivers about available services and benefits to improve access to appropriate, high-quality care through advocacy and coordination. This is a field-based position for applicants who reside in Oklahoma. The work schedule is Monday through Friday, 8:00 AM to 5:00 PM. The position requires a bachelor’s degree and 2–4 years of related experience. For candidates holding clinical licensure, graduation from an accredited school of nursing is required. Equivalent experience may also qualify when it reflects the applicable knowledge, duties, scope, and skills of the position. The pay range is $22.94–$38.79 per hour. Centene offers a comprehensive benefits package, which may be subject to program eligibility. Pay and total compensation may vary based on job-related factors, including full-time or part-time status.

Requirements

Bachelor’s degree.
2–4 years of related experience.
If holding clinical licensure, graduation from an accredited school of nursing is required.
Equivalent experience may qualify if it reflects applicable knowledge, duties, scope, and skills.
Must reside in Oklahoma.
Field-based work.
Work schedule is Monday through Friday, 8:00 AM to 5:00 PM.
Ideal candidate has experience working with children and families, behavioral health or mental health, assessment, community-based referrals and resources, care coordination, and problem-solving.
Strong communication, customer service, computer, organization, and time management skills.

Nice To Haves

Experience working with children and families.
Experience in behavioral health or mental health.
Experience with assessment, community-based referrals and resources, care coordination, and problem-solving.

Responsibilities

Evaluate members’ needs, barriers to care, and available resources; recommend and facilitate plans to support the best outcomes.
Develop or contribute to ongoing personalized care plans or service plans and identify 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 among members or their families and caregivers and care provider teams 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 applicable; collaborate with healthcare providers on plan revisions or identified needs and refer to care management for further evaluation when appropriate.
Collect, document, and maintain member information and care management activity records in compliance with applicable state, federal, and third-party payer regulations.
Perform on-site visits as appropriate to assess member needs and collaborate with providers or community resources.
Educate care managers, members, and families or caregivers, as applicable, about procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.
Perform other duties as assigned to meet member or business needs and comply with all policies and standards.