Foster Care, 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.

This is a hybrid remote, work‑from‑home role with less than 10% travel for rare home visits and quarterly in‑person team meetings in the territory listed below. Preference will be given to applicants with past experience working with traumatized/abused youth and/or DCFS and who reside in one of the following southern Illinois counties:
Madison, Bond, Fayette, Effingham, Jasper, Crawford, Lawrence, Richland, Clay, Marion, Washington, Clinton, St Clair, Monroe, Randolph, Perry, Jefferson, Wayne, Edwards, Wabash, White, Hamilton, Franklin, Jackson, Williamson, Saline, Gallatin, Hardin, Pope, Johnson, Union Alexander, Pulaski, or Massac. Nearby cities include Vandalia, Fairview Heights, Belleville, O'Fallon, Centralia, East St Louis, Carbondale.

• Department:
  Youth Care Care Management
• Schedule:
  
  M‑F, 8‑4:30 or 5 pm CT.
• Caseload: DCFS Youth‑In‑Care and Former Youth‑In‑Care (ages 0‑21) / Foster Care.

• 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.

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.

• Current state’s clinical license preferred.
• For Illinois Youth Care Plan only, education/experience:
  Bachelor's degree in Social Work, Nursing, Health Behavioral Science or equivalent experience. 2+ years of experience working within a social service agency and/or advocacy environment. Must reside in Illinois.

$22.94 - $38.79 per hour.

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote,…