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Care Navigator - Child Welfare - Tampa Florida
Company: Sunshine State Health Plan
Location: Tampa, Florida
Posted On: 11/16/2024
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.
**Qualified candidates must reside in Pasco, Hillsborough, Orange, Lee and Sarasota counties. Main cities are New Port Richey, Tampa, Orlando, Maitland, Sarasota, and Fort Myers. Ideal candidates have child welfare / foster care case management experience.
*This position will be 50% in the office and 50% in the field for member visits*
Position Purpose: 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 the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care.
- Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans.
- Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner.
- May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate.
- Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
- May perform on-site visits to assess member's needs and collaborate with providers or resources, as appropriate.
- May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.
- Other duties or responsibilities as assigned by people leader to meet the member and/or business needs.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience: Requires a Bachelor's degree and 2 - 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure. Ideal candidates have pediatric / foster care case management experience and are located in the areas of New Port Richey, Tampa, Orlando, Maitland, Sarasota, and Fort Myers.
License/Certification:
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