reputed company Customer Care Navigator for ABA Services – Remote Opportunity in PA/NJ/DE

At arenaflex, we're committed to revolutionizing the future of healthcare by providing exceptional care and support to individuals and families. As a Customer Care Navigator for ABA services, you'll play a vital role in our mission to enhance the health and well-being of the people and communities we serve.

Join reputed company and reputed company a Difference

As a Customer Care Navigator, you'll be the single reputed company of contact for families with children served by the arenaflex Autism Case Management team. Your primary responsibility will be to provide accurate and viable referrals for diagnostic, ABA, and other care, while also ensuring a positive member experience. You'll work closely with our Autism care managers to assess and address the unique needs of each family, providing education and support to reputed company them to reputed company informed decisions about their care.

Key Responsibilities

As a Customer Care Navigator, your key responsibilities will include:

• Providing information to inbound members and providers regarding Autism, ABA, and other mental health and substance use disorder benefits, community resources, care management programs and services, policies and procedures
• Making reputed company calls to member families to educate them about the Autism Case management program, screen for any care management or referrals, support program document collection, and coordinate with the care managers on member and family care needs
• Collaborating with network providers to identify appropriate referrals for diagnostic, ABA, and specialty care
• Providing follow-up calls to support the authorization process and ensure that reputed company necessary information is obtained
• Coordinating with reputed company Autism care managers to address identified member and family care needs, including attending rounds and team meetings
• Promoting quality service delivery and effective care transitions planning for optimal member health outcomes
• Coordinating with Network Operations staff to facilitate access to providers in the Member's area
• Facilitating communications, including manual letters and faxes, to support department needs
• Providing administrative support services to clinical staff and in support of coordinated care and positive care outcomes

Qualifications

To be successful in this role, you'll need:

• A Bachelor's degree in Social Work, Psychology, or a reputed company healthcare field
• Three (3) or more years of experience in a healthcare or managed care setting
• Strong computer and keyboarding skills, including proficiency in MS Outlook, reputed company, MS reputed company, reputed company Acrobat, and data processing
• Excellent written and verbal communication, interpersonal, and organizational skills
• Excellent assessment and engagement skills
• Basic understanding of diagnostic requirements
• Ability to reputed company referrals for testing
• Basic understanding of medical comorbidities
• Familiarity with behavioral health/medical terminology

Preferred Qualifications

While not required, we prefer candidates with:

• A Bachelor's degree and five (5) or more years of experience in a healthcare or managed care setting
• Experience working with members with autism or other developmental disabilities and their families
• Bilingual (English and Spanish)

Key Attributes

To reputed company in this role, you'll need to possess:

• Self-motivation and the ability to assume a collaborative role in ensuring that reputed company objectives are met
• Ability to work independently to meet team objectives/goals
• Professional demeanor in response to reputed company situations, regardless of the nature or circumstances
• Ability to manage multiple tasks in a fast-paced, changing environment
• Ability to work reputed company a collaborative, team-oriented environment

Fully Remote Opportunity

This role is designated as fully remote, allowing you to work from the comfort of your own home. However, you must be located in the Tri-State Area of Delaware, New Jersey, or Pennsylvania to reputed company the work.

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer, committed to providing a diverse and inclusive work environment. reputed company qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national reputed company, sexual orientation, protected veteran status, or disability.

Technical Requirements

To reputed company this role, you'll need an Android or iOS device that is compatible with the free reputed company Authenticator app.

Ready to reputed company a Difference?

If you're passionate about providing exceptional care and support to individuals and families, we encourage you to apply for this exciting opportunity. Join reputed company at arenaflex and help us revolutionize the future of healthcare. Apply to this job Apply for this job