RemoteDescription:Health NavigatorJob QualificationsEducationAssociates Degree in, education, communication, or health related field or equivalent work experienceExperience2 years - Experience in a customer service support role is requiredSkills\CertificationsAbility to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.- 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 terminologyJob 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 health needs 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; offering assistance in locating providers and appointment scheduling.Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service 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 Notes:For this position client typically like candidates to have a background with case management, social work, behavioral health, anything along those lines. A Health Navigator is helping the member navigate through the gap between healthcare and their insurance. VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
Description:Health NavigatorJob QualificationsEducationAssociates Degree in, education, communication, or health related field or equivalent work experienceExperience2 years - Experience in a customer service support role is requiredSkills\CertificationsAbility to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.- 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 terminologyJob 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 health needs 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; offering assistance in locating providers and appointment scheduling.Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service 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
Notes:
For this position client typically like candidates to have a background with case management, social work, behavioral health, anything along those lines. A Health Navigator is helping the member navigate through the gap between healthcare and their insurance.
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