Care Navigator-Foster Care

Centene Management Company • Springfield, IL

23h • Hybrid

About The Position

The Care Navigator develops, assesses, and coordinates care management activities according to member needs to support quality, cost-effective healthcare outcomes. The role develops or contributes to personalized care and service 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 position is remote/work from home approximately 75% of the time and involves travel approximately 25% of the time in assigned Illinois counties: Champaign, Christian, Coles, Jersey, Logan, Macon, Macoupin, Morgan, and Sangamon. Applicants should reside in one of these counties. The Navigator visits a local DCFS/CWCA office twice a week in one or more of the assigned counties. The schedule is Monday through Friday, 8 a.m. to 5 p.m. Central Time, with flexibility to adjust hours for occasional evening and weekend responsibilities based on operational and stakeholder needs. A Child Welfare Employee License (CWEL) is strongly preferred.

For Illinois YouthCare Plan Foster Care Liaison roles only, the employee is stationed on-site and hosted by DCFS regional offices throughout the state. The liaison provides administrative coordination with DCFS staff and stakeholders, communicates with and educates or trains them about managed care during regular work hours, helps resolve issues promptly with the contractor’s administrative staff, and ensures reported issues or barriers are addressed and resolutions communicated to appropriate DCFS staff or stakeholders.

The position requires a bachelor’s degree and 2–4 years of related experience. Candidates with clinical licensure must be graduates of an accredited school of nursing. Equivalent experience demonstrated through applicable knowledge, duties, scope, and skills reflective of the position level may also qualify. The pay range is $22.94–$38.79 per hour. Actual pay may vary based on skills, experience, education, other job-related factors permitted by law, and full-time or part-time status; total compensation may include incentives.

Centene offers competitive pay, health insurance, a 401(k), stock purchase plans, tuition reimbursement, paid time off and holidays, and flexibility across remote, hybrid, field, or office work schedules. Benefits may be subject to program eligibility. Centene is an equal opportunity employer and considers qualified applicants without regard to protected characteristics.

Requirements

• Bachelor’s degree and 2–4 years of related experience, or equivalent experience demonstrated through applicable knowledge, duties, scope, and skills reflective of the position level.
• If holding clinical licensure, graduation from an accredited school of nursing.
• Applicants should reside in one of the assigned Illinois counties: Champaign, Christian, Coles, Jersey, Logan, Macon, Macoupin, Morgan, or Sangamon.
• Ability to travel approximately 25% of the time in assigned Illinois counties and visit a local DCFS/CWCA office twice a week.
• Ability to work Monday through Friday, 8 a.m. to 5 p.m. Central Time, with flexibility for occasional evening and weekend responsibilities.

Nice To Haves

• Child Welfare Employee License (CWEL) is strongly preferred.

Responsibilities

• Evaluate members’ needs, barriers to care, and available resources; recommend and facilitate plans for the best outcomes.
• Develop or contribute to personalized and ongoing care 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 resources or services, including employment, education, housing, food, participant direction, independent living, justice, and foster care resources.
• Coordinate between 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 or service plan goals and member status or changes in condition, collaborating with healthcare providers on plan revisions or identified needs and referring 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.
• Perform on-site visits to assess member needs and collaborate with providers or resources, as appropriate.
• Educate care managers, members, and families or caregivers about procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.
• For Illinois YouthCare Plan Foster Care Liaison roles, coordinate administratively with DCFS staff and stakeholders, provide managed-care education and training, support immediate problem resolution, and ensure reported issues or barriers are addressed and resolutions communicated.
• Perform other duties as assigned and comply with all policies and standards.

Benefits

• Competitive pay
• Health insurance
• 401(k)
• Stock purchase plans
• Tuition reimbursement
• Paid time off
• Paid holidays
• Flexible approach to remote, hybrid, field, or office work schedules
• Potential additional incentive compensation, subject to applicable factors and eligibility

What This Job Offers

• Job Type: Full-time