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Care Navigator

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ClickJobs.io

9d ago

  • Job
    Full-time
    Junior & Mid Level
  • Consulting
    Healthcare
  • Pompano Beach

AI generated summary

  • You must reside in FL, have a Bachelor’s degree with 2-4 years of experience, or equivalent skills. Clinical licensure is preferred if from an accredited nursing school.
  • You will assess member needs, develop care plans, coordinate resources, monitor progress, document activities, and provide education to members and caregivers, ensuring timely access to services.

Requirements

  • Candidate must reside in FL
  • 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
  • Current state’s clinical license preferred

Responsibilities

  • 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

FAQs

What is the primary role of a Care Navigator at Centene?

The primary role of a Care Navigator at Centene is to develop, assess, and coordinate care management activities based on member needs to provide quality, cost-effective healthcare outcomes. This includes creating personalized care plans, educating members and their families, and ensuring access to appropriate high-quality care.

What qualifications are required for the Care Navigator position?

A Bachelor’s degree and 2 – 4 years of related experience are required. Candidates must also be graduates from an Accredited School of Nursing if holding clinical licensure or have equivalent experience that reflects the level of the position.

Is a clinical license required for this role?

A current state's clinical license is preferred for this position, but it is not strictly required.

What type of experience is considered relevant for this position?

Relevant experience includes working in care management, healthcare coordination, or a similar role that involves assessing member needs and coordinating access to healthcare resources.

What is the pay range for the Care Navigator position?

The pay range for the Care Navigator position is $22.07 - $37.25 per hour, depending on skills, experience, education, and other job-related factors.

Are there opportunities for continuing education or professional development?

Yes, Centene offers tuition reimbursement as part of their comprehensive benefits package to support continuing education and professional development.

What benefits does Centene provide to its employees?

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.

Can Care Navigators visit members on-site?

Yes, Care Navigators may perform on-site visits to assess members’ needs and collaborate with providers or resources as appropriate.

What are the expected duties of a Care Navigator?

Duties include evaluating member needs, developing personalized care plans, providing psychosocial support, coordinating with healthcare providers, monitoring member progress, maintaining documentation, and offering education to members and their families.

Is there a commitment to diversity in the hiring process?

Yes, Centene is an equal opportunity employer committed to diversity and values the differences among individuals. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

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Human Resources
Industry
51-200
Employees
2011
Founded Year

Mission & Purpose

ClickJobs.io is an online job platform that connects employers with job seekers through a streamlined, user-friendly interface. Their ultimate mission is to simplify and enhance the job search and recruitment process, making it easier for candidates to find opportunities and for employers to identify top talent. Their purpose is to provide an efficient and effective recruitment solution, leveraging technology to facilitate meaningful connections and support career advancement and organizational success.