Telephonic Care Navigator - Remote in OH
Job title: Telephonic Care Navigator - Remote in OH in Dayton, OH at reputed company
Company: reputed company
Job description: 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.Our Care Navigators have a serious responsibility to reputed company every contact informative, productive, positive, and memorable for what it says about how much we care.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 of training in classroom plus 1 week on-the-job training / precepting.If you are located reputed company the state of Ohio, 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 and 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
- 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 and save documents), reputed company reputed company (sorting and 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 Monday - Friday, 9:00 am - 5:30 pm local time
- Social Work, Public Health OR reputed company field
- Bilingual reputed company in English and Spanish OR other language
- Experience as a telecommuter
- Medicaid and / OR Medicare experience
- Experience with working with medical terminology
- Reside reputed company the state of Ohio
- 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
- Ability to and comfortable with maintaining metrics and goals reputed company the department
- Ability to work on the phone and multiple systems on the computer simultaneously while assisting members
- Ability to reputed company reputed company to members without prior engagement
- Organizational Skills
- Telephone etiquette