Health Plan Care Navigator

HealthFirst; Connecticut; On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

Incentive programs

Life insurance

401k contributions

Job summary

HealthFirst is seeking a Care Coordinator to support members navigating the health care system, either via a call center or within a care management team. The role includes documentation in PHI systems and outreach to ensure services are in place.

The position requires a CMA/CNA/RMA or equivalent training with a HS diploma and strong communication skills, in a fast-paced environment with multiple priorities.

Qualifications

• Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or equivalent training/experience.
• HS diploma or GED required.
• Strong written and verbal communication with good grammar and punctuation.
• Experience in fast-paced environments with multiple priorities.

Responsibilities

• For Call Center: handle incoming member calls about benefits, care coordination, and program inquiries, documenting calls in PHI systems.
• For Care Management: manage a caseload, coordinate with care team, and monitor member needs to improve outcomes.
• Perform outreach calls to confirm services are in place.
• Other duties as assigned.

Skills

Communication skills

Multi-tasking

Healthcare navigation

Team collaboration

Education

HS diploma/GED

Associate’s Degree

Tools

PHI system

Job description

HealthFirst is seeking a Care Coordinator to support members navigating the health care system, either via a call center or within a care management team. The role includes documentation in PHI systems and outreach to ensure services are in place.

The position requires a CMA/CNA/RMA or equivalent training with a HS diploma and strong communication skills, in a fast-paced environment with multiple priorities.