Care Navigator (Behavioral Health) (Apply in minutes)

job
  • Sunshine State Health Plan
Job Summary
Location
Tallahassee ,FL 32318
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
11 Jan 2025
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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 competitivebenefits including a fresh perspective on workplace flexibility. Candidate must reside in Florida to be considered for this opportunity**Position Purpose:** Develops, assesses, and coordinates care managementactivities based on member needs to provide quality, cost-effective healthcareoutcomes. Develops or contributes to the development of a personalized careplanservice plan for members and educates members and theirfamiliescaregivers on services and benefit options available to improvehealth care access and receive appropriate high-quality care through advocacyand 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 planservice ongoing care plansservice plans and works to identify providers, specialists, andor community resources needed for care * Provides psychosocial and resource support to memberscaregivers, 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 andor familycaregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner * May monitor progress towards care plansservice plans goals andor member status or change in condition, and collaborates with healthcare providers for care planservice 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 andor members and their familiescaregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits * Other duties or responsibilities as assigned by people leader to meet the member andor business needs * Performs other duties as assigned * Complies with all policies and standards**EducationExperience:** Requires a Bachelor’s degree and 2 – 4 years ofrelated experience. Or equivalent experience acquired through accomplishments of applicableknowledge, duties, scope and skill reflective of the level of this position. **LicenseCertification:** * Current state’s clinical license preferredPay Range: $22.50 - $38.02 per hourCentene offers a comprehensive benefits package including: competitive pay,health insurance, 401K and stock purchase plans, tuition reimbursement, paidtime off plus holidays, and a flexible approach to work with remote, hybrid,field or office work schedules. Actual pay will be adjusted based on anindividuals skills, experience, education, and other job-related factorspermitted by law. Total compensation may also include additional forms ofincentives.Centene is an equal opportunity employer that is committed to diversity, andvalues the ways in which we are different. All qualified applicants willreceive consideration for employment without regard to race, color, religion,sex, sexual orientation, gender identity, national origin, disability, veteranstatus, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered inaccordance with the LA County Ordinance and the California Fair Chance Act

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