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Care Navigator
Centene Corporation. Develop, assess, and coordinate care management activities based on member needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management, member needs assessment, and resource coordination, with a strong focus on developing personalized care plans and collaborating with healthcare providers. Possesses a solid understanding of community resources and regulatory compliance in healthcare settings.
Highest-signal resume keywords
Care ManagementMember Needs AssessmentResource CoordinationPersonalized Care PlansClinical License
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care CoordinationHealthcare AccessCommunity ResourcesDocumentationRegulatory CompliancePsychosocial SupportOn-Site AssessmentsMember EducationOutcome EvaluationCare Plan Monitoring
Soft Skills
CollaborationCommunicationEmpathyProblem-SolvingOrganizational Skills
Certifications & Qualifications
Bachelor's DegreeClinical License
Industry Keywords
HealthcareCare Management ActivitiesMember ServicesFamily EducationResource Support
About the role
Key responsibilities & impact- Develop, assess, and coordinate care management activities based on member needs
- Develop or contribute to personalized care plans/service plans
- Educate members and families/caregivers on services, benefit options, care options, referrals, healthcare benefits, and provider instructions
- Evaluate member needs, barriers to care, available resources, and recommended outcomes
- Identify providers, specialists, and community resources needed for care
- Provide psychosocial and resource support for employment, education, housing, food, participant direction, independent living, justice, and foster care services
- Coordinate between members/families/caregivers and care provider teams to ensure timely access to care and services
- Monitor progress toward care plan goals and member status or changes in condition
- Collaborate with healthcare providers to revise care plans and address member needs
- Collect, document, and maintain member information and care management activities for regulatory compliance
- Perform on-site visits when appropriate to assess member needs and collaborate with providers or resources
- Perform other duties as assigned and comply with all policies and standards
Requirements
What you’ll need- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Qualified candidates must live in North Carolina
- Experience with children ages 0–5 and resource coordination is preferred
- Bachelor’s degree required
- 2–4 years of related experience required
- Graduate from an Accredited School of Nursing if holding clinical licensure, or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position
- Current state’s clinical license preferred
- Knowledge of care management, healthcare access, care coordination, member needs assessment, and community resources
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Competitive pay
- Additional forms of incentives may be included in total compensation