Care Navigator

Care Navigator

Description

• You could be the one who changes everything for our 28 million members. 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.

• Location: Position is remote. Must live in Mississippi.

• Position Purpose: 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.

• Education/Experience

• Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School