DSNP Care Navigator | Health Plan Support

HealthFirst; Williamstown (NJ); On-site; USD 42,000 - 62,000; Full time

Job summary

HealthFirst is seeking a Care Coordinator to perform care management services and support members navigating the health care system. The role aligns with a Care Management team or a call center and focuses on improving care quality and outcomes.

The position requires CMA/CNA/RMA or relevant medical training, with a strong emphasis on clear written/verbal communication and the ability to manage multiple priorities in a fast-paced environment. Equal opportunity employer.

Qualifications

• Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or previous relevant medical training or work experience
• HS diploma/GED
• Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills
• Experience working in a fast-paced environment that requires handling multiple priorities simultaneously

Responsibilities

• For Call Center : Receive Incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors requiring medical intervention. Contemporaneously and accurately documents calls in designated PHI system.
• For Care Management teams : Manages an assigned member caseload who require short term care coordination and health navigation. Works within the interdisciplinary care team to support timely communication of member issues or needs and monitors screening of members effectively to improve quality and cost outcomes.
• Performs outreach calls to members to confirm services are in place
• Additional duties as assigned.

Skills

Certified Medical Assistant (CMA)

Certified Nursing Assistant (CNA)

Registered Medical Assistant (RMA)

Education

HS diploma/GED

Associate’s Degree

Job description

HealthFirst is seeking a Care Coordinator to perform care management services and support members navigating the health care system. The role aligns with a Care Management team or a call center and focuses on improving care quality and outcomes.

The position requires CMA/CNA/RMA or relevant medical training, with a strong emphasis on clear written/verbal communication and the ability to manage multiple priorities in a fast-paced environment. Equal opportunity employer.