Care Navigator

🔥 13 hours ago

🌲 North Carolina – Remote

infoinfo

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Logo of Centene Corporation

Centene Corporation

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Develop, assess, and coordinate care management activities based on member needs • Develop or contribute to personalized care plans/service plans • Educate members and families/caregivers on services, benefit options, care options, referrals, healthcare benefits, and provider instructions • Evaluate member needs, barriers to care, available resources, and recommended outcomes • Identify providers, specialists, and community resources needed for care • Provide psychosocial and resource support for employment, education, housing, food, participant direction, independent living, justice, and foster care services • Coordinate between members/families/caregivers and care provider teams to ensure timely access to care and services • Monitor progress toward care plan goals and member status or changes in condition • Collaborate with healthcare providers to revise care plans and address member needs • Collect, document, and maintain member information and care management activities for regulatory compliance • Perform on-site visits when appropriate to assess member needs and collaborate with providers or resources • Perform other duties as assigned and comply with all policies and standards

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Qualified candidates must live in North Carolina • Experience with children ages 0–5 and resource coordination is preferred • Bachelor’s degree required • 2–4 years of related experience required • 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 • Knowledge of care management, healthcare access, care coordination, member needs assessment, and community resources

🏖️ Benefits

• Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Competitive pay • Additional forms of incentives may be included in total compensation

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