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Senior Care Navigator

Sunshine State Health Plan

Miami Gardens, FL
1 month ago
$26.50 - $47.59

Job Description

Join Sunshine State Health Plan as a Senior Care Navigator and play a crucial role in transforming healthcare for 28 million members. This position involves assessing member needs, developing personalized care plans, and coordinating care to ensure access to high-quality healthcare services.

Key Responsibilities

  • Assess, plan, implement, and coordinate care management activities
  • Develop personalized care plans/service plans
  • Educate members and families on services and benefits
  • Coordinate care between members, families, and providers
  • Monitor progress towards care plan goals
  • Provide psychosocial support and resource access
  • Collaborate with healthcare partners
  • Document member information and care management activities
  • Perform on-site visits and provide education to care managers
  • Serve as a Subject Matter Expert (SME) for the care navigation team

Required Qualifications

  • Bachelor’s degree
  • 4 - 6 years of related experience
  • Licensed Practical Nurse (LPN) with a minimum of four years of pediatric experience or a Master’s degree in social work with a minimum of one year of related professional pediatric care experience

Preferred Qualifications

  • Current state’s clinical license
  • Experience in care coordination
  • Strong communication skills

Benefits & Perks

Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules (remote, hybrid, field, or office)