Care Navigator Pregnancy Postpartum LPN

At Trillium Community Health Plan (Trillium), we know all healthcare is local. Our Trillium staff are proud members of the communities we serve and we’re dedicated to transforming the lives of our members through programs and services that focus on prevention, health equity, and access to high-quality care. Trillium serves Oregon Health Plan members through the Coordinated Care Organization (CCO) model, connecting members to a network of healthcare providers for medical, dental, behavioral and mental health services. We also offer Trillium Advantage, a Medicare Advantage plan with prescription drug coverage. Trillium Advantage is available to those who qualify for Medicaid through the state of Oregon and are eligible for Medicare. Our 56,000 members live in Lane, Western Douglas and Western Linn counties, and in Clackamas, Washington and Multnomah counties.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. ** Prefer candidates who are currently licensed in the state of Oregon for LPN. Any labor and delivery, pregnancy, postpartum care experience is preferred. Role is fully remote can work from any state as long as they hold preferred Oregon license** 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.

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