Role OverviewThe primary role of the Care Navigator is to assess and assist actively enrolled low-risk and unengaged QUEST members with understanding their health care benefits and accessing providers and services. A Care Navigator’s time is spent telephonically reaching out to members to ensure they have access to care from in-network providers, community resource providers and plan benefits under the direction and in collaboration with the Interdisciplinary Care Team.
What You Will Do
Perform initial outreach to complete welcome calls for newly enrolled QUEST members, schedule and complete required initial and as needed telephonic health risk assessments, provide telephonic support for inbound routine and complex calls received from members and providers via a call center queue, and document in an electronic care management system all assessment information and care management activities.
Why It Might Be a Fit
The ideal candidate will have a passion for helping Hawai`i’s most underserved communities, a strong customer service focus, and excellent communication and interpersonal skills. They will be able to work independently with minimal supervision and effectively manage multiple projects and priorities across multiple teams/projects in a matrixed environment.
Requirements
- High school diploma or equivalent
- Minimum of 2 years of work experience in a customer service role, call center environment, and/or with customer facing responsibilities
- Ability to establish rapport/relationships with members via a telephonic interview which includes gathering information about their medical history and/or socio-economic needs
- Ability to establish rapport with a multi-cultural - diversified population and experience with cultural sensitivity
- Achieves results, builds trust, communicate effectively, customer and quality focused
- Strong interpersonal and facilitation skills with the ability to communicate with all levels of the organization
- Intermediate skills using Microsoft Programs: Word, Excel, Outlook and PowerPoint
- Experience in the operation of general office equipment to include PC, fax/copy machine and phone system
Benefits
- low-cost medical, dental, drug and vision insurance
- paid time-off
- 401k employer contribution
- referral bonus
- pretax transportation and parking program
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