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.

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 personalized ongoing care plans and works to identify providers, specialists, and/or community resources needed for care.
• Provides psychosocial and resource support to members/caregivers, and facilitation of local resources such as employment, education, housing, food, participant direction, independent living, justice, foster care, based on assessment and plans.
• Coordinates with the member, family/caregivers, and care provider team to ensure identified care or services are accessible in a timely manner.
• May monitor progress toward care plans or member status and collaborate with healthcare providers for plan revision or address identified needs.
• Collects, documents, and maintains all member information and care management activities for compliance with state, federal, and third‑party payer regulations.
• May perform on‑site visits to assess member needs and collaborate with providers or resources.
• May provide education to care managers and/or members and families on procedures, provider instructions, care options, referrals, and benefits.
• Performs other duties as assigned to meet member and business needs.
• Complies with all policies and standards.

THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING IL HEALTH PLAN MEDICAID. Applicants must reside in the state of Illinois. Bachelor’s degree in health care field strongly preferred.

Monday – Friday, 8 AM – 4:30 PM.

Requires a bachelor’s degree and 2–4 years of related experience. Graduate from an accredited school of nursing if holding clinical licensure or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of this position.

• Current state’s clinical license preferred.

Pay Range: $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, 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, including full‑time or part‑time status.

Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.