Care Coordination Navigator

A-Line Staffing Solutions LLC; Alameda (CA); On-site; USD 60,000 - 85,000; Full time

Job summary

A-Line Staffing Solutions LLC is seeking a Health Navigator to support members in case management and disease management programs in Alameda, CA. You will manage a caseload, coordinate with PCPs, providers, caregivers, and community resources to help members access both medically covered and non-covered services.

You will educate members on benefits, coordinate care across settings, and document activities according to DHCS/DMHC standards, collaborating with clinical staff to achieve care plan

Qualifications

• Bachelor's degree or higher in a health care related area preferred.
• Three years healthcare or customer service experience in the healthcare field.
• One year experience in care delivery or coordination in outpatient, home care or inpatient setting.
• Knowledge of medical and insurance terminology.

Responsibilities

• Coordinate care and support for members in case and disease management programs.
• Identify resources and refer members to appropriate medical and social services.
• Educate and assist members and families on benefits, eligibility, and referrals.
• Document care coordination activities and follow up actions in the care management system.

Skills

Care coordination

Healthcare terminology

Customer service

Communication

Education

Bachelor's degree or higher

Tools

Windows

Microsoft Office

Job description

A-Line Staffing Solutions LLC is seeking a Health Navigator to support members in case management and disease management programs in Alameda, CA. You will manage a caseload, coordinate with PCPs, providers, caregivers, and community resources to help members access both medically covered and non-covered services.

You will educate members on benefits, coordinate care across settings, and document activities according to DHCS/DMHC standards, collaborating with clinical staff to achieve care plan