Care Navigator

Spectraforce Technologies; Houston (TX); Remote; USD 35,000 - 45,000; Full time

Job summary

A leading company is looking for a Care Navigator to assist members by answering calls and providing excellent customer service. This remote position requires call center experience and a high school diploma. The role involves educating Medicaid members on benefits and services. Join a supportive team with potential for overtime and flexible shifts.

Qualifications

• High school diploma required; BA in Social Work or Healthcare Management preferred.

Responsibilities

• Assist the MSC Department by answering calls for STAR+PLUS members.
• Provide excellent customer service and educate Medicaid members on benefits.

Skills

Good attendance

Call center experience

Familiarity with MCO insurance

Education

High school Diploma or GED

BA in Social Work

Healthcare Management

Job description

Job Title: Care Navigator

Job Location: Remote - TX

Job Duration: 07 Months (Possibility to extend)

Shift:

Hours of operation are 8:00 AM - 6:30 PM CST. We have four different shifts: 8:30-5:00, 9:00-5:30, 9:30-6:00, 10:00-6:30.

Breaks:

During training, a 1-hour lunch break. Once assigned to a shift, 30-minute lunch break and two 15-minute breaks.

OT Potential:

Support other departments as needed.

Job Responsibilities:

• Assist the MSC Department by answering calls for STAR+PLUS members.
• Handle inbound calls from call center, covering for staff on LOA, FMLA, and open positions.
• Provide excellent customer service, educate Medicaid members on benefits and services such as PCP changes, ID cards, transportation, and other services.

Candidate Requirements:

• Must haves: Good attendance, call center experience, familiarity with MCO insurance.
• Nice to haves: Background in Service Coordination and call center experience.

Education/Certification:

• High school Diploma or GED required.
• Preferred: BA in Social Work or Healthcare Management, LVN, CNA, CMA, RT, Pharmacy Tech.

Licensure:

• Not applicable; preferred: CHW.