Care Navigator: Health Plan Support & Coordination

Healthfirst; United States; Remote; USD 42,000 - 62,000; Full time

Job summary

Healthfirst in the United States is seeking a Care Coordinator to support NorthStar members with care navigation and benefit questions. You will work with the interdisciplinary care team and handle member calls, documenting interactions to ensure timely service delivery.

Qualifications include CMA/CNA/RMA certification or equivalent training, HS diploma, and strong communication. Prior call center or healthcare experience is preferred, with attention to detail and organizational skills.

Qualifications

• Excellent verbal and written communication.
• Experience handling multiple priorities in a fast-paced environment.
• Familiarity with medical terminology and healthcare benefits is a plus.

Responsibilities

• Handle member calls regarding benefits, care coordination, and program inquiries.
• Document calls contemporaneously and accurately in the PHI system.
• Manage an assigned short-term care coordination caseload.
• Collaborate with interdisciplinary care team to communicate member needs.
• Perform outreach calls to confirm services are in place.
• Perform additional duties as assigned.

Skills

Effective communication

Customer service

Call center experience

Healthcare terminology familiarity

Education

HS diploma/GED

CMA/CNA/RMA certification or equivalent training

Associate's Degree

Job description

Healthfirst in the United States is seeking a Care Coordinator to support NorthStar members with care navigation and benefit questions. You will work with the interdisciplinary care team and handle member calls, documenting interactions to ensure timely service delivery.

Qualifications include CMA/CNA/RMA certification or equivalent training, HS diploma, and strong communication. Prior call center or healthcare experience is preferred, with attention to detail and organizational skills.