Care Navigator

Lucet; United States; Remote; Full time

Job summary

A behavioral health leader, Lucet, seeks a compassionate Care Navigator to join its remote team. This role involves being the first point of contact for members, addressing their needs, and ensuring a seamless experience while upholding high standards of care. The ideal candidate will exhibit strong communication and problem-solving abilities, contributing to the well-being of over 15 million individuals and helping shape their positive health outcomes.

Benefits

Hourly compensation between $18.00 - $20.00

Health Insurance with $0 premium for employee-only coverage

401(k) with competitive employer match

Company paid life and disability insurance

Professional development opportunities and tuition reimbursement

Paid time off including for volunteering

Qualifications

• Ability to pass background check before and during employment.
• Flexibility in managing conversations on various member concerns.
• Must be computer proficient, able to do data entry while conversing.

Responsibilities

• Handle calls to assess needs, verify details, and facilitate access to care.
• Triage crisis calls and conduct risk screenings.
• Maintain accurate records of all caller interactions.

Skills

Communication

Organizational Skills

Problem-solving

Empathy

Education

High School Diploma

Tools

MS Office Suite

Adobe Acrobat

Job description

Join to apply for the Care Navigator role at Lucet

Join to apply for the Care Navigator role at Lucet

Who We Are

At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body.

Who We Are

At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body.

When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others - and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you'll see firsthand the impact you have on our members, knowing you can make a true difference in their lives.

Why join our team at Lucet?

We are a team of collaborative and hard-working professionals working to improve behavioral health outcomes working in a fast-paced and changing environment. At Lucet, no two days are the same. If you find joy in meaningful work and delivering excellent results, we encourage you to apply!

Benefits

We are looking for top-tier skills and experience in our remote-work environment and that’s because we offer top-tier compensation and benefits, which include:

• Hourly compensation between $18.00 - $20.00, PLUS a quarterly performance-based, discretionary incentive. Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
• Health Insurance – $0 premium for employee-only coverage in our core program for those participating in our Wellbeing Incentive Program.
• 401(k) with competitive employer match
• Company paid life and disability insurance, wellbeing incentives, and parental leave
• Professional development opportunities and tuition reimbursement
• Paid time off including paid time off for volunteering
• Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
  
  

What You Will Do - Essential Functions

Care Navigators (CNs) are our company’s forefront. They are an empathic, people focused member of the Lucet team that acts as the first point of contact for all inbound member and provider calls. Creating great member experiences during these critical, initial connections, the CN provides information to the caller from intake to triage. They will also act as liaison to other departments within Lucet, assisting with the routing of calls, and providing the essential information to our members and their providers, as needed. This position is responsible for providing the initial connection between our callers and our company, one we feel is very important about the services we provide.

Member-focused Interactions

• Handle calls from behavioral health providers and members to assess needs, verify demographic details, provide education on benefits, and facilitate access to appropriate care through referrals and scheduling services.
• Triage crisis calls to clinical staff, conduct risk screenings, assist with authorizations and appeals inquiries, and ensure proper routing of initial calls for efficient service coordination
  
  

Customer Service and Compassionate Care

• Communicate with respect, precision, and empathy while addressing individual needs, listening for triggers, and escalating concerns to appropriate clinical resources.
• Work closely with partner teams to stay updated on process changes, resolve cross-functional issues efficiently, and handle claims inquiries, including denials and escalations.
  
  

Accurate Documentation and Compliance

• Maintain precise records of all caller interactions across multiple systems while ensuring providers receive necessary paperwork to update demographic details and secure authorizations.
• Meet individual and team performance goals, foster teamwork, and work collectively to achieve shared objectives while ensuring contract requirements are fulfilled or exceeded
  
  

Who You Are

• Required Qualifications
• Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 9-Panel Drug Screen
• High School Diploma
• Have excellent written and verbal communication skills, organizational and time management skills, and problem-solving skills
• Ability to create a sense of warmth, openness, and calmness through phone-based communication.
• Ability to establish trust quickly and motivate members through an engaging motivational approach.
• Flexibility in managing conversations around a variety of member needs and presenting concerns.
• Strong computer skills (MS Office Suite, Adobe Acrobat, and data processing).
• Must be computer proficient to include data entry working within multiple systems and ability to talk and type simultaneously
• You want to be a part of a company and team who are determined to make a difference in access to quality behavioral healthcare anyone deserves.

• Preferred Qualifications
• 1+ years customer service experience (call center preferred)
• 1+ years medical billing/coding and/or claims experience (mental health preferred)
• 1+ years working in a remote/telework environment.
• Experience with the Genesys Interaction Desktop.
• Working knowledge of health insurance as a whole.
• Bachelor’s degree in health-related field.
• Spanish proficiency
• Someone who embodies our values by:
• Serving everyone with compassion and leading with empathy.
• Stepping up and creating value by taking charge and acting when there is an opportunity.
• Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
• Nurturing growth and belonging by respecting and celebrating everyone for who they are.
• Competencies
• Serve everyone with compassion and lead with empathy.
• Step up and creating value by taking charge and acting when there is an opportunity.
• Adapt in a changing world by recognizing our responsibility to be agile and respond quickly.
• Nurturing growth and belonging by respecting and celebrating everyone for who they are.
• Responsible with a high level of integrity and ethical standards
• Intuitive nature to identify compliance irregularities
• Strong interpersonal and communication skills, with the ability to work effectively with diverse populations and flexibility in managing conversations around a variety of member needs and presenting concerns
• Effective critical thinking and problem-solving skills.
• Demonstrated ability to establish trust quickly and motivate members through an engaging motivational approach
• Convey confidence and understanding of member needs and care resources
• Ability to problem solve and arrive at solutions timely and with consideration of the end user in mind
• Remains positive and keeps forward momentum when faced with challenges
• Have the ability to relate to others and connect quickly
• Have the ability to navigate and multitask in several computer applications while holding a conversation
• Demonstrate persistence in meeting objectives and personal development goals
• Working Conditions:
• Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
• A quiet workspace with minimal background noise for calls.
• High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting).
  

We encourage applicants with a range of experiences who can demonstrate how their qualifications and skills align with the requirements of this role.

This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other, Information Technology, and Management

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Lucet by 2x

Get notified about new Navigator jobs in United States.

Precision Medicine Navigator (Pacific Timezone)

United States $40,000.00-$50,000.00 3 months ago

Clinical Care Navigator - After Hours - Bilingual Spanish Speaking

Community & Creator Lead Gen & Outreach Contractor

Virtual Nurse Navigator (Remote) 10-7p EST, M-F

Spokane, WA $40,000.00-$100,000.00 5 hours ago

New York, United States $40,000.00-$60,000.00 1 year ago

Employee Navigator Customer Service Analyst

New York, NY $125,000.00-$130,000.00 1 month ago

Organizational Services Clinical Care Navigator

New York, NY $40,000.00-$60,000.00 4 months ago

Manager of Member Engagement and Leadership Initiatives

Washington, DC $60,000.00-$65,000.00 2 weeks ago

Medicare Community Engagement Spc (Central Ohio)

Ithaca, NY $128,379.00-$265,000.00 1 week ago

Clinical Care Navigator- Bilingual Spanish Speaking

Family Engagement Specialist, 2 Hour Learning (Remote) - $60,000/year USD

CANCER CENTER FINANCIAL NAVIGATOR, FH - CANCER CENTER ACCESS & COORD

Community Connector, Snohomish County Area

United States $65,000.00-$75,000.00 5 days ago

Minister to Students and Families - California

United States $60,000.00-$72,000.00 4 weeks ago

FAMILY PRESERVATION SPECIALIST 1 - HOMEBUILDERS (49259)

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.