Care Navigator

Requisition ID 2025-32180 Requisition Post Information* : Posted Date 1 week ago(2/12/2025 1:27 PM) Posting Category Nursing Division ICS CARE INTEGRATION Work Type Full Time Work Days m-f Work Hours 8-5 FLSA Status Exempt Location : Name Adele Hall Recruiter : Full Name: First Last Bradley Fisher Recruiter : Email blfisher@cmh.edu Thanks for your interest in Children's Mercy! Do you envision finding a meaningful role with an inclusive and compassionate team? At Children’s Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the difference, which is why we have been recognized by U.S. News & World Report as a top pediatric hospital, for eleven consecutive years. Children’s Mercy is in the heart of Kansas City – a metro abounding in cultural experiences, vibrant communities and thriving businesses. This is where our patients and families live, work and play. This is a community that has embraced our hospital and we strive to say thanks by giving back. As a leader in children’s health, we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of children beyond the walls of our hospital. Overview This individual is responsible for working with the care team (patient, caregivers, primary care providers, specialist, community agencies, ICS staff, etc.) to identify at-risk members and address barriers to care for an assigned primary care practice(s). The Care Navigator will follow the philosophies of case management to provide care coordination services in order to make sure that patients receive well-coordinated care along the health care continuum and promote quality care through appropriate, cost effective interventions. This individual will assist not only the patients in navigating through the healthcare system but also support the primary care providers in navigating complex medical systems and community resources for their patients. This work requires problem solving, communication with patients, providers and the community and clinical expertise to address the patient's barriers to care. At Children’s Mercy, we are committed to ensuring that everyone feels welcomed within our walls. A successful candidate for this position will join us as we strive to create a workplace that reflects the community we serve, as well as our core values of kindness, curiosity, inclusion, team and integrity. Additionally, it’s important to us that we remain transparent with all potential job candidates. Because we value the safety of the patients and families we serve, as well as the Children’s Mercy staff, we want to let you know that the seasonal influenza vaccine is a condition of employment for all employees in our organization. New employees must be willing to be vaccinated if found non-immune to measles, mumps, rubella (MMR) and chicken pox (varicella) and/or without evidence of tetanus, diphtheria, acellular pertussis (Tdap) vaccination since 2005. If you are selected for this position, you will be asked to supply your immunization records as proof of vaccination. If you and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with Human Resources. Responsibilities

• Coordination of care for at-risk populations including a comprehensive assessment, identification of barriers to accessing health care, patient-centered care planning, education and support to the patient and caregivers, appropriate referrals to community resources and continual evaluation and monitoring of the patient?s progress towards the goal of self-management.
• Process prior authorization requests
• Support functions of the care team required to manage the assigned population.
• Identifies, in conjunction with the care team, at-risk patient populations that are appropriate for care coordination interventions and support.

Qualifications

• Bachelor's Degree BSN required and 3-5 years experience Experience as a registered nurse in a clinical setting or managed care setting (i.e. hospital, physician’s office, clinic). or
• Master's Degree required for Licensed Social Workers and 3-5 years experience Experience in a clinical setting or managed care setting (i.e. hospital, physician’s office, clinic).
• One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri, Licensed Master's Social Worker MO, Licensed Clinical Social Worker MO required upon hire
• One of the following: Licensed RN - Kansas, Registered Nurse Multistate License Kansas, Licensed Master's Social Worker KS, Licensed Clinical Social Worker Specialist KS required upon hire
• One of the following: Certified Case Manager, American Case Management required upon hire
• RN Compact license for all states besides KS and MO
• Employees must obtain American Case Management or equivalent within 730 days
• Employees must obtain Certified Case Manager or equivalent within 730 days
• Licensure requirements are different dependent on if incumbent is an RN or SW - see requirements below
• If incumbent is SW - role requires master's level license in KS MO. If incumbent is clinically licensed in both KS MO, no Master's level license is required. Required Upon Hire
• LMSW MO Licensed Master's Social Worker MO must have a license in the state of primary work location upon hire, and then be dually licensed in both states within 90 days of employment. Required Upon Hire
• LMSW KS Licensed Master's Social Worker KS must have a license in the state of primary work location upon hire, and then be dually licensed in both states within 90 days of employment. Required Upon Hire
• Certified Case Manager or Accredited Case Manager (certification must be obtained within 2 years of hire) Required

Benefits at Children's Mercy The benefits plans at Children’s Mercy are one of many reasons we are recognized as one of the best places to work in Kansas City. Our plans are designed to meet the changing needs of our employees and their families. Learn more about Children’s Mercy benefits. Starting Pay Our pay ranges are market competitive. The pay range for this job begins at $36.75/hr, but your offer will be determined based on your education and experience. Remote Work/Work from Home This position is entirely remote or work-from-home. The person hired must live in the Kansas City metro area and may attend on-site meetings, as scheduled. EEO Employer/Disabled/Vet Children’s Mercy hires individuals based on their job skills, expertise and ability to maintain professional relationships with fellow employees, patients, parents and visitors. A personal interview, formal education and training, previous work experience, references and a criminal background investigation all are factors used to select the best candidates. The hospital does not discriminate against prospective or current employees based on the race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry or veteran status. A drug screen will be performed upon hire. Children’s Mercy is smoke and tobacco free. Our commitment to Diversity & Inclusion CM is committed to creating a diverse and inclusive workforce. Our patients and families come from all walks of life, and so do we. We know that our greatest strengths come from the people who make up our team so we hire great people from a wide variety of backgrounds, not just because it’s the right thing to do, but because it makes our hospital stronger and our patient care more compassionate. If you share our values and our enthusiasm for service, you will find a home at CM. In recruiting for our team, we welcome the unique contributions that you can bring, including education, ideas, culture, ethnicity, race, sex, sexual orientation, gender identity and expression, national origin, age, languages spoken, veteran status, color, religion, disability and beliefs.

Salary : $37