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    • Care Navigator - PLANTATION - Sunshine State Health Plan

    Sunshine State Health Plan
    Sunshine State Health Plan PLANTATION

    4 weeks ago

    Default job background
    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.

    **Residing in the Fort Lauderdale area is required. Ideal candidates have experience with child welfare and foster care case management.**

    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 healthcare 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.

    Education/Experience:

    A Bachelor's degree and 2 – 4 years of related experience are required. A Graduate from an Accredited School of Nursing is required if holding clinical licensure or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the level of this position. Ideal candidates have pediatric/foster care case management experience and reside in the Fort Lauderdale area.

    License/Certification:

    • Current state's clinical license is preferred.

    Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, 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.

    Centene considers qualified applicants with arrest or conviction records in accordance with the LA County Ordinance and the California Fair Chance Act

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