Care Navigator

This is a fully remote position, open to applicants in Mississippi.

📋 Description

• Design, evaluate, and manage care activities tailored to the needs of members.

• Create or assist in developing individualized care plans or service plans.

• Inform members and their families or caregivers about available services, benefit choices, procedures, healthcare guidelines, care alternatives, referrals, and healthcare benefits.

• Assess member requirements, obstacles to care, accessible resources, and suggested outcomes.

• Identify necessary providers, specialists, and community resources for comprehensive care.

• Offer psychosocial and resource assistance related to employment, education, housing, food, participant direction, independent living, justice, and foster care resources.

• Facilitate communication between members, families, caregivers, and care provider teams to ensure prompt access to care and services.

• Track progress towards care plan objectives and monitor any changes in member condition or status.

• Work together with healthcare providers to revise care plans and refer members for additional care management evaluations.

• Gather, document, and maintain member data and care management activities to ensure compliance with regulatory standards.

• Conduct on-site visits as necessary to evaluate member needs and collaborate with providers or resources.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• Bachelor’s degree with 2–4 years of relevant experience.

• Graduate from an Accredited School of Nursing if possessing clinical licensure.

• Equivalent experience may be considered based on applicable knowledge, duties, scope, and skills reflective of the position level.

• For the Mississippi Magnolia Health plan: Bachelor’s or Master’s degree in a healthcare-related discipline such as social work, sociology, psychology, or public health, along with 2–4 years of related experience.

• LSW or LMSW certification preferred.

• Candidates must reside in Mississippi.

• Adherence to all policies and standards is required.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase options.

• Tuition reimbursement program.

• Paid time off in addition to holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Potential for incentives to be included in total compensation.