Remote Clinical Engagement Specialist

Navitus; Raleigh (NC); A distancia; USD 65.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

Holidays

401K match

Adoption assistance

FSA

Education and membership assistance

Referral bonus

Descripción de la vacante

Navitus Health Solutions seeks a Clinical Engagement Specialist to join our team in delivering telephonic MTM, Stars Adherence, health education, and care coordination. This role advances medication adherence and patient engagement within defined program guidelines.

The Specialist will collaborate with the Clinical Engagement Center to ensure timely access to medications and resources, while maintaining patient-centered care and regulatory compliance.

Formación

• High School diploma or GED required.
• Certified Pharmacy Technician certification required. State Pharmacy Technician license required where applicable.
• 3 years of pharmacy support experience or clinical program execution required.
• Strong pharmaceutical knowledge to accurately address inquiries, support medication-related processes, and ensure safe, informed outcomes required.
• Demonstrated ability to deliver empathetic, patient-focused support by actively listening, addressing needs, and ensuring clear, respectful communication across diverse populations required.
• Demonstrated experience effectively managing inbound and outbound communications while consistently following established workflows, scripts, and escalation protocols to ensure quality and efficiency required.
• Knowledge of healthcare regulations, including HIPAA, that protects patient information and ensures all interactions and documentation meet compliance standards required.
• Demonstrated ability to collaborate within cross-functional teams to meet service level expectations, support shared goals, and contribute to overall operational success required.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Responsabilidades

• Independently conduct, within established protocols, MTM and Stars Adherence initiatives to support organizational quality, performance, and patient outcomes.
• Conduct proactive patient outreach using advanced communication techniques to improve engagement, adherence, and program participation.
• Coordinate patient care activities to ensure timely access to medications and continuity of therapy, prioritizing work and resolving routine issues with minimal supervision.
• Collaborate with CEC team members to support consistent, high quality clinical services and shared accountability for outcomes.
• Educate patients on program benefits and medication adherence, applying professional judgment within program protocols to identify risks, address barriers, and determine appropriate interventions.
• Facilitate prescription renewals and extended day supply requests, managing exceptions and coordinating with pharmacies or providers as needed.
• Identify and address barriers to medication access by assessing patient specific challenges and connecting members with appropriate clinical or operational resources.
• Ability to apply sound professional judgment in well-defined situations and appropriately elevate when additional guidance is needed.
• Adhere to established protocols and regulatory requirements, escalating non-routine decisions involving complex, sensitive, or high-risk situations appropriately.
• Support operational effectiveness by completing assigned workflows accurately and efficiently and taking ownership of tasks that contribute to overall department performance.
• Other duties as assigned.

Conocimientos

Empathetic patient support

Pharmacy knowledge

Communication skills

HIPAA compliance

Customer service orientation

Educación

High School diploma or GED

Certified Pharmacy Technician certification

Descripción del empleo

Navitus Health Solutions seeks a Clinical Engagement Specialist to join our team in delivering telephonic MTM, Stars Adherence, health education, and care coordination. This role advances medication adherence and patient engagement within defined program guidelines.

The Specialist will collaborate with the Clinical Engagement Center to ensure timely access to medications and resources, while maintaining patient-centered care and regulatory compliance.