Health Navigator
🔒 Direct submission to hiring team • Zero candidate fees
Role & Company Overview
📋 Role Overview & Responsibilities
Job QualificationsEducation- Associates Degree in, education, communication, or health related field or equivalent work experienceExperience- 2 years - Experience in a customer service support role is requiredSkills\Certifications
Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles andaccountability.
- Proficient interpersonal and organizational skills- Independent, Sound decision-making and problem-solving skills- Must be able to work in an independent and creative manner.- Self-motivated and able to manage multiple tasks and set priorities.- Effective time management skills- Excellent oral and written communication skills- Strong interpersonal and organizational skills- Knowledge in Medical terminology
Responsibilities:Job Profile Summary: Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.
Job Responsibilities:Conducting educational telephone calls advising members of available benefits, services and programs; completes healthneeds assessment, and refers members to population health management programs as appropriate.
Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offeringassistance in locating providers and appointment scheduling.
Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customerservice inquiries and authorization history; assigning members to clinical team for call outreach and intervention.
Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives,and other program related inquiries.
- Work overtime as needed- Various immunizations and/or associated medical tests may be required.
Frequently Asked Questions
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Is this position eligible for remote work or visa sponsorship? ▼
This position is located in Tennessee, United States with potential relocation and sponsorship assistance depending on candidate qualifications.
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