Senior 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. Remote role. Candidate must reside in thestate of Florida in Collier County, Hendry County or surroundingareas. Must have four years or more of Pediatric experience and

LPNlicensure Position Purpose:

Assesses, plans, implements, andcoordinates care management activities based on member needs toprovide quality, cost-effective healthcare outcomes. Develops orcontributes to the development of a personalized care plan/serviceplan for members and educates members and their families/caregiverson services and benefit options available to improve health careaccess and receive appropriate high-quality care through advocacyand care coordination.

• Develops or contributes to the developmentof ongoing care plans/service plans and works to identifyproviders, specialists, and/or community resources needed for care
• Coordinates and manages as appropriate between the member and/orfamily/caregivers and the care provider team to ensure identifiedservices are accessible to members in a timely manner
• May monitorprogress towards care plans/service plans goals and/or memberstatus or change in condition, and collaborates with healthcareproviders for care plan/service plan revision or address identifiedmember needs, refer to care management for further evaluation asappropriate
• Provides psychosocial and resource support tomembers/caregivers, and care managers to access local resources orservices such as: employment, education, housing, food, participantdirection, independent living, justice, foster care) based onservice assessment and plans
• Identifies problems/barriers forcare coordination and appropriate care management interventions formembers with higher level of care needs
• Reviews referralsinformation and intake assessments to develop or assist in thedevelopment of appropriate care plan/service plan for members withhigher level of care needs
• Collaborates with healthcare partnersas appropriate to facilitate member care to ensure member needs aremet and determine if care plan/service plan revision is needed
• 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 managersand/or members and their families/caregivers on procedures,healthcare provider instructions, care options, referrals, andhealthcare benefits
• Serves as a Subject Matter Expert (SME) tosupport the care navigation team and/or serve as a preceptor fornewly hired staff
• Other duties or responsibilities as assigned bypeople leader to meet the member and/or business needs
• Performsother duties as assigned.
• Complies with all policies andstandards.

Education/Experience:

Requires a Bachelor’s degree and 4

• 6 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
• For CMS Florida licensed practicalnurse with a minimum of four years of pediatric experience, or aMaster’s degree in social work with a minimum of one year ofrelated professional pediatric care experience.

May require up to80% local travel required

Pay Range:

$26.50

• $47.

59 per hourCentene offers a comprehensive benefits package including:competitive pay, health insurance, 401K and stock purchase plans,tuition reimbursement, paid time off plus holidays, and a flexibleapproach to work with remote, hybrid, field or office workschedules. Actual pay will be adjusted based on an individual’sskills, experience, education, and other job-related factorspermitted by law. Total compensation may also include additionalforms of incentives. Centene is an equal opportunity employer thatis committed to diversity, and values the ways in which we aredifferent. All qualified applicants will receive consideration foremployment without regard to race, color, religion, sex, sexualorientation, gender identity, national origin, disability, veteranstatus, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will beconsidered in accordance with the LA County Ordinance and theCalifornia Fair Chance Act