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Urgent! Care Navigator - Full Time - Days Job Opening In UTICA – Now Hiring Mohawk Valley Health System
Care Navigator - Full Time - Days
Department: CARE MANAGEMENT SERVICES
Job Summary
The Care Managment Navigator provides support to the Care Managers and other staff in the resolution of member related issues.
Communicates with members and their families regarding information about Managed Long Term Care (MLTC) services.
Provides summary reports, analysis and support for care coordination related activities.
Participates in non-clinical customer service for members enrolled in the VNS Health Plans MLTC plan in collaboration with Care Coordination department and other healthcare professionals.
Works under the general supervision of the Manager of Ancillary Services.
Core Job Responsibilities
+ Educates potential members/community representatives on plan features, plan benefits, and program
+ admission requirements.
+ Coordinates telephonic intake and responses to both clinical and non-clinical customer service issues.
+ Identifies nature of issue, independently responds to and resolves non-clinical issues and complaints, and
+ escalates clinical issues to appropriate department and staff.
+ Assists in monitoring member satisfaction through phone calls to verify service, answering questions and
+ providing information.
Documents member service issues, identifies trends and recommends potential
+ solutions.
+ Maintains expertise in VNS Health Plans MLTC benefits, network and organization structure.
Acts as a
+ resource to members to guide them in accessing their benefits.
+ Places orders or referrals for services and follows up to ensure services are scheduled and provided.
+ Processes and monitors invoices for payment.
+ Serves as a resource for MLTC Care Manager and other staff in the resolution of member-related issues.
+ Establishes effective customer-focused working relationships with members, physicians and providers of long term care services.
+ Audits system-generated reports, reconciles data, and distributes reports to management for review.
+ Participates in interdisciplinary team meetings and provides input on customer service related activities.
+ Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
+ Ensures compliance with the VNS Health Plan’s policies and procedures as well as all Federal and State
+ regulations.
+ Provides administrative support to care coordination staff
+ Performs related duties as assigned.
Education/Experience Requirements
REQUIRED:
+ High School diploma.
+ One year of customer service experience.
+ Excellent telephone skills and ability to clearly communicate verbally and in writing.
+ Proficient with computers, email.
PREFERRED:
+ Associate’s degree in a healthcare related field.
Licensure/Certification Requirements
Disclaimer
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Job Details
Req Id 93187
Department CARE MANAGEMENT SERVICES
Shift Days
Shift Hours Worked 7.50
FTE 0.94
Work Schedule HRLY NON-UNION-8 HR
Employee Status A1 - Full-Time
Union Non-Union
Pay Range $18.69 - $25.19 Hourly
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Unlock Your Care Navigator Potential: Insight & Career Growth Guide
Real-time Care Navigator Jobs Trends in UTICA, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Care Navigator in UTICA, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 87722 jobs in United States and 134 jobs in UTICA. This comprehensive analysis highlights market share and opportunities for professionals in Care Navigator roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! Mohawk Valley Health System is currently hiring and seeking a Care Navigator Full Time Days to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: Care Navigator Full Time Days Jobs UTICA.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Mohawk Valley Health System adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a Care Navigator Full Time Days Jobs United States varies, but the pay scale is rated "Standard" in UTICA. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
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