Care Navigator - Child Welfare
Company: Sunshine State Health Plan
Location: Orlando
Posted on: October 10, 2024
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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. Qualified candidates must reside in
Pasco, Hillsborough, Orange, Lee and Sarasota counties. Main cities
are New Port Richey, Tampa, Orlando, Maitland, Sarasota, and Fort
Myers. Ideal candidates have child welfare / foster care case
management experience. This position will be 50% in the office and
50% in the field for member visits 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. Ideal
candidates have pediatric / foster care case management experience
and are located in the areas of New Port Richey, Tampa, Orlando,
Maitland, Sarasota, and Fort Myers. 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. 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, Greater Carrollwood , Care Navigator - Child Welfare, Other , Orlando, Florida
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