Health Navigator-Q
About the position Responsibilities • Supporting Early Periodic Screening, Diagnosis, and Treatment (EPSDT), this is for members 0-20 years old. • Making outreach calls when appointments are overdue, informing families their child is due for a visit, and assisting with scheduling. • Coordinating transportation for appointments to ensure access to care. • Promoting health-related events, including those hosted by doctors’ offices, to encourage community engagement and preventive care. • Conducting educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate. • Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling. • Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention. • Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries. • Work overtime as needed • Various immunizations and/or associated medical tests may be required for this position. • This job requires digital literacy assessment. Requirements • Associates Degree in, education, communication, or health related field or equivalent work experience • 2 years - Experience in a customer service support role is required • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. • Proficient interpersonal and organizational skills • Independent, Sound decision-making and problem-solving skills • Must be able to work in an independent and creative manner. • Self-motivated and able to manage multiple tasks and set priorities. • Effective time management skills • Excellent oral and written communication skills • Strong interpersonal and organizational skills • Knowledge in Medical terminology Nice-to-haves • BlueCare member support experience preferred Apply tot his job