
Care Navigator
Posted 3 days ago

Posted 3 days ago
This is a fully remote position, open to applicants in Mississippi.
• Develop, evaluate, and coordinate care management activities tailored to member needs.
• Create or contribute to individualized care plans/service plans.
• Educate members and their families/caregivers about available services, benefit options, care alternatives, referrals, and healthcare benefits.
• Assess member needs, identify barriers to care, evaluate available resources, and facilitate optimal health outcomes.
• Identify necessary providers, specialists, and community resources for effective care.
• Offer psychosocial and resource support to members/caregivers and care managers.
• Coordinate communications between members/families/caregivers and care provider teams to ensure timely access to services.
• Monitor progress toward care-plan objectives and changes in member status or condition.
• Collaborate with healthcare providers to revise care plans and refer to care management for further evaluation when necessary.
• Collect, document, and maintain member information and care management activities to ensure regulatory compliance.
• Conduct on-site visits when appropriate.
• Perform additional duties as assigned and adhere to policies and standards.
• Candidate must reside in Mississippi.
• Bachelor’s degree with 2–4 years of relevant experience.
• Graduation from an Accredited School of Nursing if holding a clinical license.
• For the Mississippi Magnolia Health plan: Bachelor’s or Master’s degree in a healthcare-related field (such as social work, sociology, psychology, public health) with 2–4 years of relevant experience.
• LSW or LMSW is preferred.
• Experience in Behavioral Health is preferred.
• Equivalent experience that demonstrates applicable knowledge, duties, scope, and skill reflective of this position may qualify.
• Health insurance.
• 401K.
• Stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work arrangements including remote, hybrid, field, or office schedules.
• Additional forms of incentives may be included in total compensation.
• Equal opportunity employer committed to diversity.
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