Job Title: Health Navigator Job Location: Chattanooga, TN Job Duration: 12 Months (possibility of extension) Job 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.
Quals:
- All applicants will be advised that Client, as a federal contractor, may be required to implement a COVID-19 vaccine mandate.
Job QualificationsEducation:
- Associates Degree in education, communication, or health related field or equivalent work experience.
Experience:
- 2 years - Experience in a customer service support role is required.
Skills/Certifications:
- Ability 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 terminology.