Foster Care, Care Navigator

Foster Care, Care Navigator page is loaded## Foster Care, Care Navigator locations:
Remote-IL:
Carbondale - 1175

E. Main St (10409) time type:
Full time posted on:
Posted Todayjob requisition :
1629469

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.

NOTE:

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.

Additional Details:  
• 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.

** 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.

** License/Certification:
*** 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.

Pay Range: $22.94 -…