Remote Member Care Navigator II

PacificSource; Georgia; Ibrido; USD 36.000 - 57.000; Tempo pieno

Vantaggi offerti da questo lavoro

Flexible telecommute policy

Medical, vision, dental insurance

401(k) plan

Paid time off and holidays

Tuition reimbursement

Descrizione del lavoro

PacificSource is seeking a Member Support Specialist to assist members with complex psychosocial needs, supporting adherence to regimens and outcomes. Work telephonically and in person, coordinating with the case management team to navigate benefits and resources.

You will help educate members on benefits, arrange transportation, and build relationships with providers while ensuring HIPAA and documentation standards are met.

Competenze

• Minimum of three years of experience in community services or healthcare coordination.
• High school diploma or equivalent required.
• Proficient in Microsoft Office; knowledge of medical terminology.
• Experience with health insurance and group presentations preferred.

Mansioni

• Coordinate with case managers to develop member-specific goals.
• Educate members on plan benefits and how to use services.
• Assist with arranging transportation and linking to community resources.
• Maintain HIPAA compliance and accurate documentation.
• Coordinate referrals and serve as liaison with providers.
• Participate in team meetings and quality improvement efforts.

Conoscenze

Communication

Organizational skills

Teamwork

Problem Solving

Formazione

High school diploma

Strumenti

Microsoft Office

CaseTrakker Dynamo

Descrizione del lavoro

PacificSource is seeking a Member Support Specialist to assist members with complex psychosocial needs, supporting adherence to regimens and outcomes. Work telephonically and in person, coordinating with the case management team to navigate benefits and resources.

You will help educate members on benefits, arrange transportation, and build relationships with providers while ensuring HIPAA and documentation standards are met.