Care Navigator Position Available In Duval, Florida

Job Description:

You could be the one who changes everything for our 28 millionmembers. Centene is transforming the health of our communities, oneperson at a time. As a diversified, national organization, you’llhave access to competitive benefits including a fresh perspectiveon workplace flexibility.

Location:

Position is 100% remote.

Candidate must live in Florida.

Position Purpose:

Develops,assesses, and coordinates care management activities based onmember needs to provide quality, cost-effective healthcareoutcomes. Develops or contributes to the development of apersonalized care plan/service plan for members and educatesmembers and their families/caregivers on services and benefitoptions available to improve health care access and receiveappropriate high-quality care through advocacy and carecoordination.

• Evaluates the needs of the member, barriers tocare, the resources available, and recommends and facilitates theplan for the best outcome
• Develops or contributes to thedevelopment of a personalized care plan/service ongoing careplans/service plans and works to identify providers, specialists,and/or community resources needed for care
• Provides psychosocialand resource support to members/caregivers, and care managers toaccess local resources or services such as: employment, education,housing, food, participant direction, independent living, justice,foster care) based on service assessment and plans
• Coordinates asappropriate between the member and/or family/caregivers and thecare provider team to ensure identified care or services areaccessible to members in a timely manner
• May monitor progresstowards care plans/service plans goals and/or member status orchange in condition, and collaborates with healthcare providers forcare 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 caremanagement activities to ensure compliance with current state,federal, and third-party payer regulators
• May perform on-sitevisits to assess member’s needs and collaborate with providers orresources, as appropriate
• May provide education to care managerand/or members and their families/caregivers on procedures,healthcare provider instructions, care options, referrals, andhealthcare benefits
• Other duties or responsibilities as assignedby people leader to meet the member and/or business needs
• Performs other duties as assigned.
• Complies with all policies andstandards.

Education/Experience:

Requires a Bachelor’s degree and 2

• 4 years of related experience.

Requirement is Graduate from anAccredited School of Nursing if holding clinical licensure. Orequivalent experience acquired through accomplishments ofapplicable knowledge, duties, scope and skill reflective of thelevel of this position.

License/Certification:

• Current state’sclinical license preferred
• LPN preferred.

Location:

Position is100% remote. Candidate must live in Florida.

Pay Range:

$22.50

• $38.

02 per hour Centene offers a comprehensive benefits packageincluding: competitive pay, health insurance, 401K and stockpurchase plans, tuition reimbursement, paid time off plus holidays,and a flexible approach to work with remote, hybrid, field oroffice work schedules. Actual pay will be adjusted based on anindividual’s skills, experience, education, and other job-relatedfactors permitted by law, including full-time or part-time status.

Total compensation may also include additional forms of incentives.

Benefits may be subject to program eligibility. Centene is an equalopportunity employer that is committed to diversity, and values theways in which we are different. All qualified applicants willreceive consideration for employment without regard to race, color,religion, sex, sexual orientation, gender identity, nationalorigin, disability, veteran status, or other characteristicprotected by applicable law. Qualified applicants with arrest orconviction records will be considered in accordance with the LACounty Ordinance and the California Fair Chance Act