Care Navigator - REMOTE
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title as heading. We need to include only sections that have real specific content.
We have job description content: description paragraph, responsibilities list, essential skills list, additional skills & qualifications list, work environment, job type & location, pay and benefits, workplace type, application deadline, about actalent (boilerplate). We need to remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Also remove "About Actalent" etc? That's company description, maybe considered boilerplate? It's not EEO but it's generic company description; likely should be removed as it's not substantive to the role. The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "About Actalent" is not explicitly listed but could be considered boilerplate; but it's not EEO. However it's generic company description; might be considered not needed. Safer to keep? The instruction says preserve ALL substantive information; do NOT invent or summarize away detail. The "About Actalent" is not about the role; it's company info. Might be considered not substantive for the job posting; but it's not explicitly prohibited. However typical job postings include that; but we might keep it as a section? There's no heading for "About the company". The allowed headings are limited to those listed. So we cannot create a heading for About Actalent unless we map to "About the role"? That's not correct. Better to omit it.
We need to include sections: About the role (maybe the initial description paragraph), Responsibilities, Requirements (maybe essential skills?), Qualifications (maybe additional skills?), Skills (maybe combine essential and additional?), Benefits, Pay, Schedule. We need to decide based on content.
We have description paragraph: "This role develops, assesses, and coordinates care management activities based on member needs to support quality, cost-effective healthcare outcomes..." That's about the role. So we can put that under About the role
with a
. Responsibilities: we have a list of duties. Use
- .
Requirements: maybe essential skills list (Bachelor's degree, 1 year experience, etc). Could be under Requirements.
Qualifications: additional skills & qualifications list (strongly preferred etc). Could be under Qualifications.
Skills: maybe we could combine essential and additional? But we already have Requirements and Qualifications; maybe Skills not needed. However we could still include Skills if we have specific skill list not covered elsewhere. But we have essential skills (which are more like qualifications) and additional skills (preferred). Could treat essential as Requirements, additional as Qualifications. Then Skills section maybe not needed.
Benefits: we have list of benefits under Pay And Benefits. So we need Benefits section.
Pay: we have pay range $23.00 - $26.00/hr. So Pay section.
Schedule: we have work environment: remote position with core hours Monday-Friday 8am-5pm, residency within 45 minutes of Atlanta office, occasional onsite presence. That's schedule info. So Schedule section.
We also have Job Type & Location: Contract position based out of Atlanta, GA. That could be included maybe under Schedule? Or we could add a separate section like "Job Type & Location" but not allowed headings. Could fold into Schedule or maybe into About the role? Better to include location in Schedule? Or we could add a
under Schedule about location and job type. The instruction: do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. So we can include location and job type as a short
maybe under Schedule or as its own paragraph without heading? But we need to output only HTML fragment; we can include
anywhere. Probably best to add a
after About the role: "Job Type: Contract. Location: Atlanta, GA." Or incorporate into Schedule. We must not repeat job title as heading. So no
Care Navigator. We must not include boilerplate like EEO etc. Remove "About Actalent" and all the equal opportunity statements, accommodation, AI usage, etc. Also remove "Application Deadline" maybe? That's application instruction? It's a date; but it's not instruction to apply; it's just deadline. Might be considered metadata; we could keep as a short
maybe. But the instruction says remove application instructions. Deadline is not instruction but could be considered metadata; maybe we keep it as a short
. However it's not explicitly prohibited. Safer to keep? The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." Application deadline is not an instruction to apply; it's just info. I'd keep it as a short
maybe under Schedule or separate. We must not create Pay/Schedule/Benefits sections unless posting actually states them. We have those. Now produce HTML:
About the role
This role develops, assesses, and coordinates care management activities based on member needs to support quality, cost-effective healthcare outcomes. The Care Navigator creates or contributes to personalized care and service plans, connects members with appropriate providers and community resources, and educates members and their families or caregivers on available services and benefit options. Through advocacy and care coordination, this position helps members improve access to healthcare and receive appropriate, high-quality care.
Responsibilities
- Evaluate members’ needs, identify barriers to care, assess available resources, and recommend and facilitate a care plan that supports the best possible outcomes.
- Develop or contribute to personalized care and service plans, including ongoing updates, and identify appropriate providers, specialists, and community resources needed to support member care.
- Provide psychosocial and resource support to members, caregivers, and care managers to help them access local services such as employment, education, housing, food, participant-directed services, independent living, justice-related resources, and foster care, based on service assessments and plans.
- Coordinate, as appropriate, between members, families or caregivers, and the care provider team to ensure that identified care and services are accessible in a timely manner.
- Monitor progress toward care and service plan goals and track changes in member status or condition; collaborate with healthcare providers to revise care or service plans as needed and refer members to care management for further evaluation when appropriate.
- Collect, document, and maintain all member information and care management activities in accordance with current state, federal, and third-party payer regulations.
- Perform on-site visits, when required, to assess member needs and collaborate with providers or community resources.
- Provide education to care managers, members, and families or caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.
- Support crisis intervention and crisis management efforts as needed, ensuring members receive appropriate and timely support.
- Use care management platforms or healthcare CRM systems to manage caseloads, document interactions, and track member outcomes.
- Engage in telephonic outreach to members as part of care navigation, care coordination, and population health initiatives.
- Work effectively within a call center healthcare environment to respond to member needs and support care management programs.
- Perform other duties or responsibilities as assigned to meet member and business needs.
- Comply with all organizational policies, procedures, and standards.
Requirements
- Bachelor’s degree in Social Work, Psychology, Human Services, Behavioral Health, or a related field.
- Minimum 1 year of experience in Care Navigation, Care Coordination, Case Management, Member support, Population Health, Behavioral Health programs, or health plan/member services involving telephonic outreach.
- Experience with care management, care coordination, and care navigation for diverse member populations.
- Proficiency using care management platforms or healthcare CRM systems to document and track member interactions and outcomes.
- Experience managing a caseload in a healthcare or behavioral health setting.
- Experience in behavioral health, including working with members with psychosocial or behavioral needs.
- Experience with telephonic outreach to engage members, coordinate care, and provide education.
- Crisis intervention and crisis management skills to support members experiencing urgent or complex situations.
- Knowledge of Medicaid or managed care programs and related processes.
- Experience in population health or programs focused on improving health outcomes for defined member groups.
- Experience working in a call center healthcare environment or similar high-volume, member-facing setting.
- Strong ability to assess member needs, identify barriers to care, and connect members with appropriate community resources.
- Effective written and verbal communication skills to educate members, caregivers, and care teams.
- Ability to coordinate care among multiple providers, specialists, and community partners.
- Strong organizational and documentation skills to ensure compliance with state, federal, and third-party payer regulations.
Qualifications
- Behavioral Health experience is strongly preferred.
- Telephonic outreach experience in a healthcare or health plan setting is strongly preferred.
- Crisis intervention and crisis management experience is strongly preferred.
- Experience with Medicaid or Managed Care programs is strongly preferred.
- Population health experience, including working with defined member populations and outcome-focused programs, is strongly preferred.
- Experience in a call center healthcare environment is strongly preferred.
- Familiarity with local community resources related to employment, education, housing, food assistance, independent living, justice system support, and foster care services.
- Ability to build rapport and trust with members and caregivers from diverse backgrounds.
- Comfort working both independently and as part of an interdisciplinary care team.
- Strong problem-solving skills and the ability to adapt care plans as member needs change.
Benefits
- 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)
Pay
The pay range for this position is $23.00 - $26.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. 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.
Schedule
This is a remote position with core hours of Monday through Friday, 8:00 AM to 5:00 PM. The role requires residency within approximately 45 minutes of the Atlanta office, as occasional onsite presence may be required for meetings. Work is primarily performed using care management platforms and healthcare CRM systems, along with telephonic outreach and other virtual communication tools. The environment is similar to a call center healthcare setting, with a focus on timely response to member needs, coordination with care teams, and adherence to regulatory and organizational standards. Job Type: Contract. Location: Atlanta, GA.
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