Care Navigator - Care Coordination

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.

Qualified candidates must reside in Broward, Miami-Dade, or Monroe Counties in Florida and will be servicing members in Miami and Ft. Lauderdale

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 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.
• Must be able to travel locally up to 50%.

Education / Experience : 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.

Ideal candidates have a background in behavioral health case management. Ideal candidates have SMI / behavioral health case management experience and are located in the areas of West Palm Beach, Ft. Lauderdale, and Miami.

License / Certification :

Current state’s clinical license preferred

Pay Range : $22.07 - $37.25 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.

Total compensation may also include additional forms of incentives.