Care Navigator

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.

Must reside in Oklahoma.

Centene is hiring a Care Navigator for our Oklahoma Complete Health Medicaid plan, covering the Northwestern part of the State.

The ideal candidate will have 30% travel and experience in social services or a behavioral health background, particularly with adolescents or juvenile justice.

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

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.

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.