Enrollee Care Navigator – Field & Community Support

CareSource; Mobile (AL); On-site; USD 33,000 - 51,000; Full time

Job summary

CareSource in Massachusetts seeks a Care Coordinator to guide enrollees through health plan processes, assist with care planning, and coordinate services for timely delivery.

The role involves outreach via visits and calls, documenting activities, and supporting administrative tasks to enhance member satisfaction. Travel within the territory is required, with a focus on coordinated care across providers.

Qualifications

• High School or GED required.
• Two (2) years of experience in healthcare, customer service or a related industry required.
• Knowledge of Medicaid, Medicare and Managed Care is preferred.

Responsibilities

• Serve as the first point of contact for enrollees and assist with plan processes, appeals and grievances.
• Conduct routine outreach to members and providers, coordinating services with teams and documenting activities.
• Provide in-person visits to enrollees at least annually with member consent.
• Maintain open lines of communication based on enrollee preferences.
• Maintain accurate documentation and visibility across teams for continuity of service.
• Coordinate scheduling, support outreach campaigns, and ensure task completion across systems.
• Identify potential social support or community-based needs and coordinate care plans.

Skills

Microsoft Office

Customer service

Communication

Multitasking

Teamwork

Education

High School or GED

2 years healthcare/customer service experience

Job description

CareSource in Massachusetts seeks a Care Coordinator to guide enrollees through health plan processes, assist with care planning, and coordinate services for timely delivery.

The role involves outreach via visits and calls, documenting activities, and supporting administrative tasks to enhance member satisfaction. Travel within the territory is required, with a focus on coordinated care across providers.