Care Navigator
Job Title: Care Navigator
Location: Remote
Shift: 8-6:30 CST pm. We have 4 different shifts: 8:30-5, 9-5:30, 9:30-6, 10: -6:30
Lunch break: 1 hour during training, once assigned shift 30 minutes & 2 15-minute breaks.
Duration: 8 months (Possible Extensions)
Summary
Location: Remote
Shift: 8-6:30 CST pm. We have 4 different shifts: 8:30-5, 9-5:30, 9:30-6, 10: -6:30
Lunch break: 1 hour during training, once assigned shift 30 minutes & 2 15-minute breaks.
Duration: 8 months (Possible Extensions)
Summary
- Provide support to medical, behavioral, and social support staff to determine needs, eligibility, and services for members.
- Conduct screening and risk assessment interventions per program guidelines.
- These positions work in a Call Center setting where the contractors are on a phone queue
- Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.
- Describe the performance expectations/metrics for this individual and their team:
- Adherence – 90% or above
- Quality – 95% or above
- Tell me about what their first day looks like:
- Day 1/week 1: Issued password, badging, laptop, equipment, ensure systems access, and will start University training throughout the first week.
- Training: After week 1, will be set up with trainer for day-to-day visibility into role
- What previous job titles or background work will be in this role?
- Call center and medical insurance background (another MCO)
- Identify special needs members through the completion of health screens and other resources.
- Work with community outreach/member advocates to coordinate member care.
- Educate providers and community resources on program components and available support services. Educate members with special needs to foster compliance with program and positively impact outcomes.
- Conduct site visits as appropriate for programs and provide support to other special programs.
- Assist with modification and management of care plans under the direction of a Registered Nurse in conjunction with member, medical consenter, or caregiver, Department of Family and Protective Services (DFPS) caseworker and family, if applicable, as well as the managing physician.
- Bachelor’s degree in Social Work, Health Services, Behavioral Science, or related field, or equivalent experience. 0-2 years of experience
-
Seniority level
Entry level -
Employment type
Full-time -
Job function
Other, Information Technology, and Management -
Industries
Staffing and Recruiting
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