Care Navigator
Company: Sunshine State Health Plan
Location: Pompano Beach
Posted on: October 24, 2024
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.
***Candidate must reside in the state of Florida. Experience
working in Chronic Illness is highly preferred.***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 standardsEducation/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.
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 preferredPay Range: $22.07 -
$37.25 per hourCentene 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.Centene is an equal opportunity
employer that is committed to diversity, and values the ways in
which we are different. 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 characteristic
protected by applicable law.
Qualified applicants with arrest or conviction records will be
considered in accordance with the LA County Ordinance and the
California Fair Chance Act
Keywords: Sunshine State Health Plan, Tamarac , Care Navigator, Other , Pompano Beach, Florida
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