Medicaid Health Care Navigator

Maryland Care Management Inc; Annapolis (MD); On-site; USD 38,000 - 56,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

100% employer Term Life Insurance

Short & Long-Term Disability

401k Employer Match up to 4%

20 days PTO

Tuition assistance/Professional dev

Job summary

Maryland Care Management, Inc. is seeking an Administrative Support specialist to work with the Care Management team. You will collect health data, screen eligibility, and refer members to services, helping coordinate care and access to resources for Medicaid members.

You will collaborate with clinicians and social services to address barriers and ensure timely care access, while maintaining complete member records and promoting positive health outcomes.

Qualifications

• High school diploma or equivalent.
• 2+ years serving the Medicaid population in the MD/DC area.
• 2+ years OB/GYN experience.
• Knowledge of Medical Terminology.

Responsibilities

• Provide administrative support to CM team members.
• Collect data for Health Risk Assessments (HRA).
• Screen for eligibility and benefits.
• Identify members without a PCP and refer to Member Services.
• Screen members by priority for CM services and refer as appropriate.
• Coordinate care by contacting PCPs or other providers for needed information.
• Document encounters and submit monthly reports; maintain electronic records.
• Assist members in arranging PCP visits and understanding the medical home.

Skills

Interpersonal communication

Customer service

Medical terminology

Community resources knowledge

Transportation barriers knowledge

Multi-system outreach programs

Education

High school diploma or equivalent

2+ years Medicaid population experience (MD/DC)

2+ years OB/GYN experience

Knowledge of Medical Terminology

Job description

Maryland Care Management, Inc. is seeking an Administrative Support specialist to work with the Care Management team. You will collect health data, screen eligibility, and refer members to services, helping coordinate care and access to resources for Medicaid members.

You will collaborate with clinicians and social services to address barriers and ensure timely care access, while maintaining complete member records and promoting positive health outcomes.