Role OverviewElderwood IPA is seeking a Care Navigator to join our growing team of professionals. The Care Navigator will be responsible for answering calls, providing information to members, and routing calls to a Care Manager. The role involves working within an interdisciplinary care team to support timely communication of member issues or needs and monitoring screening of members effectively to improve quality and cost outcomes.
What You Will Do
The Care Navigator will be responsible for answering calls, providing information to members, and routing calls to a Care Manager. They will also be responsible for completing assigned outreach to medical providers, coordinating and managing client supply requests, and monitoring member satisfaction through auditing service phone calls.
Why It Might Be a Fit
The successful candidate will have a minimum of a high school diploma, 1-3 years of experience within the medical insurance field, and a basic understanding of health diagnoses and verbiage. They will also be proficient in Microsoft Office and have a preference for bilingual English/Spanish speaking.
Requirements
- Minimum of High School Diploma
- 1 – 3 years of experience within the medical insurance field
- Knowledge of Medicaid product information
- Basic understanding of health diagnoses and verbiage
- Demonstrated proficiency with Microsoft Office
- Bilingual English/Spanish speaking preferred
Benefits
- Medical, Dental & Vision upon 1st of month following 60 days of hire
- Up to 140 hours (19 days) of PTO time
- Six (6) holidays within the 1st year
- 401(k) retirement plan with vested employer match up to 4%
- Substantial Referral program
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