Health Navigator

MWIDM; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Health Navigator for a remote position. This role involves supporting clinical teams and providing proactive resources to members regarding disease prevention and benefit education. The ideal candidate will have strong communication and organizational skills, with a focus on helping members navigate their health needs. You will conduct educational calls, manage member inquiries, and ensure compliance with health programs. Join a dynamic team dedicated to making a difference in healthcare, where your contributions will directly impact the well-being of members.

Qualifications

• 2 years of customer service experience required.
• Ability to work independently and in a team environment.

Responsibilities

• Conduct educational calls advising members on benefits and services.
• Manage system work queues and screen members for eligibility.
• Facilitate research and analysis of inquiries and complaints.

Skills

Interpersonal skills

Organizational skills

Decision-making

Problem-solving

Communication skills

Knowledge in medical terminology

Education

Associates Degree in education, communication, or health-related field

Job description

Remote Job - United States | Posted - 06/22/23

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Overview

Job Title: Health Navigator

Job Location: Remote

Job Duration: 1 Month

Shift: 8am-5pm

Pay rate: $17/hr.

Qualifications:

All applicants will be advised that BlueCross, as a federal contractor, may be required to implement a COVID-19 vaccine mandate.

Job Qualifications

Education

- Associates Degree in education, communication, or health-related field or equivalent work experience.

Experience

- 2 years of experience in a customer service support role is required.

Skills/Certifications

• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability.
• Proficient interpersonal and organizational skills.
• Independent, sound decision-making and problem-solving skills.
• Must be able to work in an independent and creative manner.
• Self-motivated and able to manage multiple tasks and set priorities.
• Excellent oral and written communication skills.
• Strong interpersonal and organizational skills.
• Knowledge in medical terminology.

Responsibilities:

Job Profile Summary: Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.

Job Responsibilities:

• Conducting educational telephone calls advising members of available benefits, services, and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
• Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; helping in locating providers and appointment scheduling.
• Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries, and authorization history; assigning members to clinical team for call outreach and intervention.
• Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program-related inquiries.
• Work overtime as needed.

About the company

MWIDM Inc. is a WMBE Certified global staffing firm serving Fortune 2000 clients with customized and scalable workforce solutions. With our account management integrated into our delivery process, we provide you with staffing solutions that are transparent and robust irrespective of the industry you function.