Remotery

Care Navigator – LPN / LVN

atCentene CorporationRemoteUS flagMissouriFull-timeUncategorizedJuniorMid-level$22 – $38/hour

Posted 2 days ago

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

📋 Description

• Develop, evaluate, and manage care coordination activities tailored to member requirements.

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

• Inform members and their families/caregivers about available services, benefit options, care alternatives, referrals, healthcare entitlements, and provider guidelines.

• Assess member needs, obstacles to care, and the resources that are accessible.

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

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

• Facilitate communication between members/families/caregivers and care provider teams to guarantee prompt access to necessary care and services.

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

• Collaborate with healthcare professionals on modifications to care plans and refer members for additional care management assessment.

• Gather, document, and uphold member data and care management activities to ensure regulatory compliance.

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

• Perform additional responsibilities as assigned while adhering to all policies and standards.


⛳️ Requirements

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

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

• Equivalent experience may be considered based on relevant knowledge, responsibilities, scope, and skills aligned with the position level.

• Current state clinical license is preferred.

• Missouri LPN / LVN license is highly preferred.

• Availability to work Monday–Friday, 8am–5pm Central.

• Capability to develop, evaluate, and coordinate care plans and services.

• Familiarity with healthcare benefits, referrals, providers, specialists, and community resources.

• Proficiency in collecting and maintaining documentation in line with state, federal, and third-party payer regulations.


🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plans.

• Stock purchase options.

• Tuition reimbursement opportunities.

• Paid time off along with holidays.

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

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