Care Navigator

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

📋 Description

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

• Create or assist in the formulation of individualized care plans or service plans.

• Provide education to members and their families/caregivers regarding services, benefit options, care alternatives, referrals, and healthcare entitlements.

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

• Identify necessary providers, specialists, and community resources to facilitate care.

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

• Act as a liaison between members/families/caregivers and care provider teams to guarantee timely access to care and services.

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

• Work in partnership with healthcare providers to revise care plans and refer members for additional care management evaluation when necessary.

• Gather, record, and maintain member data and care management activities to ensure regulatory compliance.

• Conduct on-site visits when appropriate to evaluate member needs and collaborate with providers or available resources.

• Perform additional duties as assigned and adhere to all policies and standards.

⛳️ Requirements

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

• Graduation from an Accredited School of Nursing is required if holding clinical licensure.

• Equivalent experience may be accepted based on applicable knowledge, responsibilities, scope, and skills.

• 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.

• 2–4 years of relevant experience is necessary.

• LSW or LMSW is preferred.

• Must have experience working with the Foster Care population.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plans.

• Stock purchase options.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

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

• Additional forms of incentives may be incorporated into total compensation.

• An equal opportunity employer dedicated to diversity.