Health Plan Care Navigator

Healthfirst; Florida; On-site; USD 42,000 - 62,000; Full time

Job summary

Healthfirst is seeking a Care Coordinator to support members navigating their health care system. You will work with a Care Management team or call center to provide care coordination and navigation services.

Key duties include handling inbound calls about benefits, documenting interactions in the PHI system, managing a member caseload for short-term coordination, and performing outreach to ensure services are in place. Strong communication and multitasking are essential.

Qualifications

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

Responsibilities

• Handle incoming calls from members regarding benefits, care coordination, program inquiries, connecting to their care manager, and screening assessments; document calls in designated PHI system.
• Manage assigned member caseload on care management teams; communicate with interdisciplinary care team and monitor needs to improve outcomes.
• Perform outreach calls to confirm services are in place.
• Other duties as assigned.

Education

CMA

CNA

RMA

Job description

Healthfirst is seeking a Care Coordinator to support members navigating their health care system. You will work with a Care Management team or call center to provide care coordination and navigation services.

Key duties include handling inbound calls about benefits, documenting interactions in the PHI system, managing a member caseload for short-term coordination, and performing outreach to ensure services are in place. Strong communication and multitasking are essential.