Care Management Navigator - Senior Network Health

Mohawk Valley Health System
City of Utica, NY
Category Customer Service
Job Description
Role Overview

The Care Management Navigator provides support to the Care Managers and other staff in the resolution of member-related issues. They communicate with members and their families regarding information about Managed Long Term Care (MLTC) services. They participate in non-clinical customer service for members enrolled in the VNS Health Plans MLTC plan in collaboration with the Care Coordination department and other healthcare professionals.

What You Will Do

The main day-to-day responsibilities include educating potential members/community representatives on plan features, plan benefits, and program admission requirements. They also coordinate telephonic intake and responses to both clinical and non-clinical customer service issues, identify the nature of issues, and resolve non-clinical issues and complaints.

Why It Might Be a Fit

The ideal candidate will have excellent telephone skills, the ability to clearly communicate verbally and in writing, and proficiency with computers and email. They will also be able to maintain expertise in VNS Health Plans MLTC benefits, network, and organization structure.

Requirements

  • High School diploma
  • One year of customer service experience
  • Excellent telephone skills
  • Ability to clearly communicate verbally and in writing
  • Proficiency with computers and email

Benefits

  • Pay Range $20.00 - $24.00 Per Hour
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