护理导航员（LPN）
Care Navigator LPN
职位职责：根据会员需求开发、评估并协调护理管理活动，以提供高质量、成本效益的医疗结果。为会员制定或参与制定个性化护理计划/服务计划，并教育会员及其家庭/照护者有关可用的服务和福利选项，通过倡导和护理协调改善医疗获取并获得适当的高质量护理。
关键信息：这是一个全远程职位，要求候选人居住在俄勒冈州并持有有效的俄勒冈州执业护士执照。需要有母婴健康经验，优先考虑曾支持过产前、产后或母婴护理人群的候选人。有管理或支持高风险妊娠会员的经验是加分项。
- 评估会员的需求、护理障碍、可用资源，并推荐和促进最佳结果的计划
- 制定或参与制定个性化护理计划/持续护理计划，并努力确定所需的提供者、专科医生和/或社区资源
- 为会员/照护者和护理管理人员提供心理社会和资源支持，以根据服务评估和计划获取当地资源或服务，例如：就业、教育、住房、食品、参与者指导、独立生活、司法、寄养护理等
- 在适当的情况下在会员和/或家庭/照护者与护理提供者团队之间进行协调，确保所确定的护理或服务能及时为会员提供
- 可能会监测护理计划/服务计划目标或会员状况的进展或变化，并与医疗提供者合作修订护理计划/服务计划或解决已识别的会员需求，必要时转介至护理管理进行进一步评估
- 收集、记录并维护所有会员信息和护理管理活动，以确保符合当前州、联邦和第三方支付方监管机构的要求
- 可能进行现场访问以评估会员的需求并与提供者或资源进行协作，视情况而定
- 可能向护理管理人员和/或会员及其家庭/照护者提供关于程序、医疗提供者指示、护理选择、转诊和医疗福利的教育
- 其他由上级领导指派的职责，以满足会员和/或业务需求
查看英文原文
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.
Key Details: This is a fully remote position requiring candidates to reside in Oregon and hold an active, unrestricted Oregon LPN license. Maternal health experience is required, with preference given to candidates who have supported prenatal, postpartum, or maternal care populations. Experience managing or supporting members with high-risk pregnancies is a strong plus.
- 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. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
License/Certification:
· Current state’s clinical license preferred
Pay Range: $22.94 - $38.79 per hour
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Originally posted on Himalayas