Care Navigator — Telephonic Health Access & Coordination

Alohacare; Hawaii; On-site; USD 27,000 - 35,000; Full time

Benefits offered by this job

Low-cost health insurance

Dental and vision insurance

Paid time off

401k employer contribution

Referral bonus

Pretax transportation and parking

Job summary

AlohaCare seeks a dedicated Care Navigator in Hawaii to assist QUEST members with understanding benefits and accessing providers. You will reach out telephonically, perform health risk assessments, educate members, and coordinate referrals under the Interdisciplinary Care Team.

Responsibilities include documenting in the care management system, managing referrals and prior authorizations, and collaborating with internal departments to ensure timely access to services.

Qualifications

• Minimum of 2 years in a customer service role or call centre.
• Ability to build rapport with diverse members via phone.
• Experience with care coordination and community resources is a plus.
• Proficiency in Microsoft Office and EMR/care management systems.

Responsibilities

• Perform welcome outreach calls to new QUEST members.
• Conduct health risk assessments via telephonic outreach.
• Provide telephonic support to members and providers through a call center queue.
• Assist with referrals, prior authorizations, and eligibility forms.
• Document assessments and activities in the care management system.
• Coordinate with care team and community resources to improve access to care.
• Generate daily Excel reports and meet regulatory deadlines.
• Maintain confidentiality and comply with policies and laws.

Skills

Customer service

Telecommunication

Time management

Multicultural communication

Data entry

Microsoft Office

Tools

EMR

Care management system

Excel

Word

Outlook

PowerPoint

Job description

AlohaCare seeks a dedicated Care Navigator in Hawaii to assist QUEST members with understanding benefits and accessing providers. You will reach out telephonically, perform health risk assessments, educate members, and coordinate referrals under the Interdisciplinary Care Team.

Responsibilities include documenting in the care management system, managing referrals and prior authorizations, and collaborating with internal departments to ensure timely access to services.