Care Navigator

Job not on LinkedIn

🕒 May 26

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CareSource

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Conducts outreach to members and providers to confirm service details, coordinate scheduling, address general inquiries, and ensure accurate documentation of care coordination activities. • Coordinate services by working with providers, community partners, and member/ caregivers to manage scheduling, service updates, and administrative changes, as needed • Collaborates with the care team, providers, and other partners as needed to support member service requests and ensure smooth communication and continuity across care activities • Help members schedule transportation to medical appointments; assist members with booking issues • Coordinates interpreting and translation supporting services for the member (including ADA compliance) • Mentor for new Care Navigation Specialist – during and beyond their orientation period, if needed • Maintain accurate documentation and maintenance of member records and alignment with regulatory standards, ensuring timely distribution to appropriate internal teams or provider partners as needed

🎯 Requirements

• High School or GED required • One (1) year of related experience in a health-related service field required • Critical thinking and troubleshooting skills • Strong customer service and problem-solving skills • Ability to work in multiple systems, often simultaneously • Clear, concise, and effective oral and written communication • Strong time management and demonstrated ability to work independently • Flexibility to adapt to business needs • Motivated team player • Excellent organizational skills • High attention to detail and accuracy • Basic arithmetic skills required • Proficiency in Microsoft Office Suite

🏖️ Benefits

• comprehensive total rewards package

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