Job Title: Senior Care Navigator

Job Description

As a Care Navigator, you will assess, plan, implement, and coordinate care management activities based on member needs to provide quality, cost-effective healthcare outcomes. You will develop personalized care plans for members and educate them and their families on available services and benefit options to improve healthcare access and receive appropriate high-quality care through advocacy and care coordination.

Responsibilities

• Develop and contribute to ongoing care plans and service plans.
• Identify providers, specialists, and community resources needed for care.
• Coordinate and manage interactions between members, families, and care providers to ensure timely access to services.
• Monitor progress toward care plan goals and collaborate with healthcare providers to revise care plans as necessary.
• Provide psychosocial and resource support to members, caregivers, and care managers to access local resources or services.
• Identify problems and barriers in care coordination and implement appropriate care management interventions.
• Review referral information and intake assessments to develop appropriate care plans for members with higher levels of care needs.
• Collaborate with healthcare partners to facilitate member care and determine if care plan revisions are needed.
• Collect, document, and maintain all member information and care management activities to ensure compliance with state, federal, and third-party payer regulations.
• Perform on-site visits to assess member needs and collaborate with providers or resources as needed.
• Provide education to care managers, members, and their families on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.
• Serve as a Subject Matter Expert (SME) to support the care navigation team and serve as a preceptor for newly hired staff.
• Comply with all policies and standards.
• Perform other duties as assigned to meet member and business needs.

Essential Skills

• Bachelor's degree in a related field.
• 4-6 years of related experience.
• Graduate from an Accredited School of Nursing if holding clinical licensure.
• Current state clinical license preferred.
• Experience in case management and managed care.
• 2 years of experience working with the pediatric population.
• Strong communication and interpersonal skills.

Additional Skills & Qualifications

• FL LPN License.
• Ability to work collaboratively with a diverse range of contacts.
• Experience in care coordination and medical assessment.
• Knowledge of ASD and related services is a plus.

Work Environment

This role may involve performing on-site visits to assess member needs and collaborating with providers or resources as appropriate. The position requires strong communication and interpersonal skills to work collaboratively with a diverse range of contacts. You will comply with all policies and standards while performing your duties.

Pay and Benefits

The pay range for this position is $30.00 - $32.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Apr 27, 2025.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

Salary : $30 - $32