Care Navigator

Title: Care Navigator

Location: Remote - TX

Duration:4 Months - Possible extension or conversion

Hours of operation is 8-6:0:30 CST pm. We have 4 different shifts:

8:30-5, 9-5:30, 9:30-6, 10:-6:30

Lunch break: 1 hour during training, once assigned shift 30 minutes & 2 15-minute breaks

OT potential - can support other departments with authorization.

Description:

These positions work in a Call Center setting where the contractors are on a phone queue

Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.

Would be working with MSC Department and assisting in taking calls for our STAR+PLUS member.

Team is to cover and answer calls that come in through call center.

Each day, they will interact with different members, learning from them and assisting with their individual needs

Candidate Requirements

Education/Certification
Required: HS Diploma
Preferred: BUT NOT Required: BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech

Licensure
Required:
Preferred:

Years of experience required: Over 5 years of experience working directly with the ABD (Aged, Blind, and Disabled) population in call center environments, Medicaid programs, and Managed Care Organizations (MCOs). Skilled in supporting individuals with disabilities and vulnerable populations managing chronic or complex health conditions. Demonstrated expertise in providing care coordination for children, young adults, and other high-need groups within the past three of the last five years.

Must haves: good attendance, call center background; worked with MCO insurance

Nice to haves: background in Service Coordination, and call center experience.

Disqualifiers: no call center experience

Additional qualities to look for: Software Skills: Will be using various software on the job: Microsoft Office Suite, Avaya, Zoom, Skype

• Top 3 must-have hard skills stack-ranked by importance

1
Customer service, call center experience

2
Computer Knowledge

3
Insurance, MCO background.

Candidate Review & Selection