Health Navigator (177953)

A-Line Staffing Solutions; Alameda (CA); Vor Ort; USD 58.000 - 76.000; Vollzeit

Benefits dieser Stelle

401(k) with company match

Zusammenfassung

A-Line Staffing is seeking a Health Navigator in Alameda, CA to help members access healthcare, behavioral health, and community resources. The role emphasizes care coordination, education on health plan benefits, and scheduling of appointments.

You will work with providers and case managers, manage a caseload, document interactions, and ensure HIPAA compliance while meeting productivity and quality standards for a temp-to-perm opportunity.

Qualifikationen

• Bachelor's degree in healthcare or equivalent professional healthcare experience.
• Three years of healthcare or healthcare-related customer service experience preferred.
• One year of care coordination, care planning, or discharge planning experience preferred.
• Fluency in English, including strong written communication.
• Proficiency with Windows and Microsoft Office.

Aufgaben

• Contact and assess members who may benefit from care management services.
• Coordinate care with members, families, physicians, hospitals, case managers, and community organizations.
• Explain health plan benefits, eligibility, services, and referral options.
• Help members schedule appointments and access healthcare and social services.
• Provide basic health education, self-management guidance, and community resource referrals.
• Document member interactions, care coordination activities, and follow-up actions accurately and promptly.
• Support Enhanced Care Management (ECM) members and coordinate with external ECM providers.
• Identify barriers to care and escalates clinical concerns to nurses or appropriate care management teams.
• Maintain an assigned caseload and meet productivity and quality standards.
• Follow HIPAA requirements, organizational policies, and applicable regulatory standards.

Kenntnisse

Care coordination

Healthcare experience

English proficiency

Documentation

Ausbildung

Bachelor’s degree in healthcare

Tools

Windows

Microsoft Office

Jobbeschreibung

A-Line Staffing is now hiring a Health Navigator in Alameda, CA.

Job Code: 177953 Position Title: Health Navigator Location: Alameda, CA 94502 Pay Rate: $42.00 - $55.00 per hour Assignment Dates: November 30, 2026 – April 30, 2027 Employment Type: Temp-to-perm opportunity, with the potential for an extension or permanent placement based on business needs.

Position Summary

The Health Navigator helps members access healthcare, behavioral health, and community resources. This role involves coordinating care, educating members about health plan benefits, scheduling appointments, following up on referrals, and working with healthcare providers and case managers to help members meet their healthcare goals.

Key Responsibilities

• Contact and assess members who may benefit from care management services.
• Coordinate care with members, families, physicians, hospitals, case managers, and community organizations.
• Explain health plan benefits, eligibility, services, and referral options.
• Help members schedule appointments and access healthcare and social services.
• Provide basic health education, self-management guidance, and community resource referrals.
• Document member interactions, care coordination activities, and follow-up actions accurately and promptly.
• Support Enhanced Care Management (ECM) members and coordinate with external ECM providers.
• Identify barriers to care and escalates clinical concerns to nurses or appropriate care management teams.
• Maintain an assigned caseload and meet productivity and quality standards.
• Follow HIPAA requirements, organizational policies, and applicable regulatory standards.

Required Qualifications and Preferred Experience

• Bachelor's degree or higher in a healthcare-related field, or equivalent professional healthcare experience, preferred.
• Three years of healthcare or healthcare-related customer service experience preferred.
• One year of care coordination, care planning, or discharge planning experience preferred.
• Working knowledge of medical and insurance terminology preferred.
• Fluency in English, including strong written communication, grammar, and punctuation.
• Proficiency with Windows and Microsoft Office.
• Strong communication, customer service, organizational, analytical, and problem-solving skills.
• Ability to manage multiple priorities, maintain accurate documentation, and work with diverse populations, including low-income communities.
• Experience with health plans, managed care, case management, disease management, physicians, hospitals, or community programs is preferred.
• Familiarity with Alameda County community resources is a plus.
• Must have a cleared TB test before starting or within seven days of hire.

Work Environment and Physical Requirements

Primarily desk- and computer-based work with frequent telephone communication. Regular keyboarding, documentation, and use of a telephone headset. Frequent communication with members, healthcare providers, and colleagues. Frequent walking and standing, with occasional lifting of files and other items weighing up to 30 pounds. Candidates may be required to meet applicable TB testing and COVID-19 and/or influenza vaccination requirements, subject to qualifying exemptions.

Important Information for Candidates

Work Arrangement: Confirm the work arrangement during the application process.

Assignment Duration: Approximately five months, from November 30, 2026, through April 30, 2027.

Performance Expectations: Candidates must maintain an assigned caseload and meet monthly productivity, documentation, and quality audit standards.

Member Confidentiality: This position requires appropriate handling of protected health information and compliance with HIPAA.

Employment Opportunity: An extension or permanent placement may be available based on business needs; permanent placement is not guaranteed.

Benefits

• Benefits are available to full-time employees after 90 days of employment.
• A 401(k) with company match is available after 1 year of service.