What are the responsibilities and job description for the MEMBER NAVIGATOR position at Liberty Health?
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We Are Currently Seeking An Experienced
MEMBER NAVIGATOR
Job Summary
Background checks/drug-free workplace.
EOE.
Come explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us!
We Are Currently Seeking An Experienced
MEMBER NAVIGATOR
Job Summary
- Assists with access to care for CSNP members in collaboration with an RN case manager and nurse practitioner.
- Obtains information for members based on the model of care requirements.
- Obtains information to assist with evaluation of member needs.
- Communicate effectively with individuals across the care continuum.
- Documents member information in the electronic medical record.
- Reviews appointments and communicates pertinent information to the RN Case Manager(s) and nurse practitioner(s) for additional interventions.
- Collaborate with IDT for coordination of care
- Communicate with members and/or families obtaining and providing information regarding care and needs.
- Strong communication skills and focus on customer needs and services.
- Assists with any member emergency as needed.
- Recommends and/or conducts specific areas of in-service or continuing education with patients and caregivers as appropriate.
- Assists with compliance of quality measures for CSNP program
- Assist with HEDIS measures and collection of data
- Assist with collection and presentation of QA data for the CSNP program
- Participates in ICT meetings for CSNP members
- Assist with Medication Adherence
- Performs other duties as assigned.
- Must be a high school graduate, or equivalent
- Must be able to demonstrate computer skills, including use of e-mail, Microsoft Office Word and Excel.
- Must be able to demonstrate effective written communication skills, including but not limited to, writing reports and correspondence.
- Must be able to demonstrate effective verbal communication skills, including, but not limited to, speaking effectively to members, providers, families and staff and listening to members, providers and families
- Demonstrated ability to meet deadlines, and use time effectively and efficiently.
- Demonstrated successful experience working in an environment of change. Effectively copes with change and uncertainty; responds and "shifts gears" comfortably
- Dedicated to meeting the expectations and requirements of both external and internal customers
- Demonstrated ability to establish and maintain effective relationships with customers, and gain their trust and respect
- Uses logical methods to solve problems with effective solutions; looks beyond the obvious to solutions
- Action oriented and sees challenges as opportunities.
- Must meet company driving standards
- Must have a valid state driver’s license and be able to drive a car
- Must meet company's automobile liability insurance standards and provide proof of coverage
- Must be able to independently travel to assigned locations
- Knowledge of community resources
- Previous experience working with behavioral health populations
- Experience working with low income and disadvantaged populations
- Previous work with vulnerable adults or senior population
Background checks/drug-free workplace.
EOE.