Care Navigator at Centene

Ideal for a professional with a Bachelor’s degree and two to four years of related experience in care coordination or nursing. You are a candidate who possesses

Work type: remote

Location: Remote-IL

Salary: $23 – $39/hr

Type: Full-time

Summary

Ideal for a professional with a Bachelor’s degree and two to four years of related experience in care coordination or nursing. You are a candidate who possesses either a clinical nursing license or equivalent experience managing complex healthcare member needs. **What makes it worth a look...** Centene offers a pay range of $22.94 to $38.79 per hour for this fully remote role based in Illinois. You will enjoy a stable, set schedule from Monday to Friday with no weekend or holiday obligations. **You might be a good fit if you...** * Have experience conducting Health Risk Assessments. * Can create and manage personalized care plans for members. * Are comfortable performing outbound calls to provide resource support. * Maintain clinical documentation in compliance with state and federal regulations.

Job 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 Requirement​- Must reside in Illinois-Remote role

Program / Team-Medicaid Virtual Onboarding

# Key Responsibilities

• Conduct outbound calls to members to complete Health Risk Assessments


• Create care plans based on member needs


• Provide members with appropriate resources and support


• Manage a monthly caseload while meeting required outreach timeframes


• Complete work accurately and efficiently while maintaining quality standards

• Monday through Friday


• 8:00 a.m. to 4:30 p.m.


• No weekends


• No holiday coverage

• 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.

Requires a Bachelor’s degree and 2 – 4 years of related experience.

Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.License/Certification:Current state’s clinical license preferred

Pay Range: $22.94 - $38.79 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a 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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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