We have multiple openings for a Care Navigator. Seeking candidates with 2+ years of call center experience in a medical setting. This is a remote or work from home position open to candidates in Texas only. 3-month contract starting out, contract extension very likely with good performance/possible conversion to permanent hire.
Work Location: Remote, Texas
Pay: $24/hr
Hours: Hours of operation is 8a-6:30p CST pm M-F with rotating weekends. We have 4 different shifts:
8:30-5, 9-5:30, 9:30-6, 10:-6:30 (must be flexible to work either one)
Lunch break: 1 hour during training, once assigned shift 30 minutes & 2 15-minute breaks
Must be willing to work overtime as needed
Contract Type – contract to possible hire
Responsibilities:
- 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.
Required Skills & Education:
- 2+ years call center experience in a medical setting
- 3 years working with children/youth
- Strong computer and customer service skills – MS office, Avaya, Zoom, Skype
- 4 years of combined work experience is a must
- Managed care and MCO experience HIGHLY preferred
- Bilingual preferred
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.
Responsibilities:
- 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
#INDPM
Job Types: Full-time, Contract
Pay: $24.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Evening shift
- Monday to Friday
- Weekends as needed
Work setting:
Education:
- High school or equivalent (Preferred)
Experience:
- Customer service: 2 years (Preferred)
- Healthcare/Medical Call center: 2 years (Preferred)
Location:
Work Location: Remote