Care Navigator at Centene

**Who this is for** This role is for a compassionate healthcare professional or social services coordinator residing in Washington state. It is perfect for thos

Work type: remote

Location: Remote-WA State

Salary: $23 – $39/hr

Type: Full-time

Summary

**Who this is for** This role is for a compassionate healthcare professional or social services coordinator residing in Washington state. It is perfect for those who excel at member advocacy and enjoy helping individuals navigate complex healthcare systems and community resources. **Key highlights** As a Care Navigator, you will develop personalized care plans and serve as a bridge between members, families, and healthcare providers. You will play a vital role in removing barriers to care, addressing social determinants of health, and ensuring members receive high-quality, cost-effective support. **You might be a good fit if you...** - Hold a Bachelor’s degree or equivalent experience in a related field. - Have a strong aptitude for documentation, care planning, and navigating state/federal regulatory compliance. - Are comfortable performing field visits to assess member needs in their own environment. - Can effectively educate members and caregivers on benefits and available support services.

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.
 

This position requires WA State ResidencyPosition 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.

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


• This position requires WA State Residency

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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