[Hiring] Care Navigator @Centene Corporation

Role 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.
• Educates members and their families/caregivers on services and benefit options available to improve healthcare access.
• Evaluates the needs of the member, barriers to care, and resources available.
• Recommends and facilitates the plan for the best outcome.
• Identifies providers, specialists, and/or community resources needed for care.
• Provides psychosocial and resource support to members/caregivers and care managers.
• Coordinates between the member and/or family/caregivers and the care provider team.
• Monitors progress towards care plans/service plans goals and collaborates with healthcare providers for revisions.
• Collects, documents, and maintains all member information and care management activities.
• May perform on-site visits to assess member’s needs.
• May provide education to care managers and/or members and their families/caregivers.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• Requires a Bachelor’s degree and 2 – 4 years of related experience.
• Graduate from an Accredited School of Nursing if holding clinical licensure.
• Equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the level of this position.
• Will work with Foster Care population.

Requirements

• For Mississippi Magnolia Health plan: Bachelor’s or Master’s degree in a healthcare-related field (social work, sociology, psychology, public health) and 2 – 4 years of related experience; LSW, LMSW preferred.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible approach to work with remote, hybrid, field, or office work schedules.
• Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.