Telephonic Care Navigator - Remote in WI

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:00 am - 5:30 pm local time. We offer 2 weeks in classroom plus 1 week of on-the-job training / precepting. If you are located in WI, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Completes telephonic reputed company to DSNP/CSNP members utilizing multiple reputed company modes: including auto-dialer, manual and inbound calls • Educates member on gaps in care and assists with closure of gaps, including scheduling provider appointments • Assists members with social determinants of health and links to community resources • Ensures member has access to PCP • Outreaches members on caseload consistent with program guidelines • Consistently meets metrics, both quality & performance • Provides excellent customer service to both members and providers • Constantly maintains schedule adherence and good attendance • Maintains confidential health information according to state and federal regulations including HIPAA You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualification: • High School Diploma / GED OR equivalent work experience • Must be 18 years of age OR older • 1 years of call center and / OR telephonic customer service experience • 1 years of professional experience in an office setting using the telephone and computer as the primary instruments to reputed company the job duties • 1 years of Healthcare / insurance experience and / OR Social work / community reputed company / advocacy experience • 1 years of experience with analyzing and solving customer problems • Work experience with using reputed company Word (edit, create & save documents), reputed company reputed company (sorting & filtering data), and reputed company Outlook (email, folders, attachments and calendaring) • Ability to work from home (access to high-speed broadband) • Ability to attend 100% of the 3 weeks training period. Time off requests will not be accommodated during this time • Ability to work between the hours of 9:00 am - 5:30 pm local time from Monday - Friday Preferred Qualifications: • Social Work, Public Health OR reputed company field • Bilingual reputed company in English and Spanish OR other language • Previous experience as a telecommuter • Medicaid and / OR Medicare experience • Experience with working with medical terminology Telecommuting Requirements: • Reside reputed company WI • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service Soft Skills: • Must be able and comfortable with maintaining metrics and goals reputed company the department • Must be comfortable working on the phone and multiple systems on the computer simultaneously while assisting members • Must be comfortable making reputed company to members without prior engagement • Excellent Organizational Skills • Telephone etiquette • reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy The hourly range for this role is $20.95 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!