LPN Health Navigator

🔥 12 hours ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $25 - $47 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Capital Blue Cross

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1938

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Capital Blue Cross is a health insurance company that offers a range of health plans for individuals, families, and employers. They serve customers in Central Pennsylvania and the Lehigh Valley, focusing on providing health coverage services such as Medicare plans, student health plans, and resources for managing medical care. Capital Blue Cross positions itself as a partner in health, emphasizing support for members' overall wellness and preventive health measures.

📋 Description

• Identify, facilitate, and secure access to healthcare, social service benefits, and community resources • Help members navigate steps toward efficient and effective care • Coordinate appointments and transportation to physicians and non-physician providers • Monitor incoming calls, conduct outgoing calls, and respond to voicemail requests • Address gaps in care, health risk assessments, education events, and provider follow-up • Identify and assess members’ medical, behavioral, social, emotional, and financial needs • Connect at-risk members with appropriate community resources and conduct health education • Build relationships with members, families, and caregivers and provide support toward healthcare goals • Provide emotional support and refer members for higher-level psychosocial intervention • Complete member education, interventions, surveys, and assessments • Deliver condition-specific education, medication adherence guidance, preventive care guidance, and health benefits navigation • Collaborate with interdisciplinary teams to support whole-person care and improve quality outcomes • Identify and report quality-of-care issues • Maintain member confidentiality • Document care navigator activities in the care management documentation system • Attend company and departmental meetings and training sessions • Support assigned population processes, including retrieving and assigning referrals and completing monthly reconciliation reports

🎯 Requirements

• At least three (3) years’ recent/related experience working in health and wellness promotion, inpatient or other appropriate clinical setting • Patient Navigation certification preferred or obtained within 1-year employment • Licensed Practical Nurse active license or degree in healthcare related field and 3 years of experience directly related to the duties and responsibilities specified • Critical thinking and problem-solving skills • Excellent written, oral communication, listening, and organizational skills • Proficiency in Microsoft Office Products • Ability to use a computer system while conversing telephonically • Strong customer service skills, including tact and diplomacy • Ability to prioritize workload and complete assigned duties accurately and timely • Ability to work autonomously and as part of an interdisciplinary team • Knowledge of medical, behavioral, and social systems • Knowledge of NCQA, DMAA, CMSA, Act 68, and CMS standards • Knowledge of current and emerging medical treatment modalities and best practice guidelines • Knowledge of adult learning principles, motivational interviewing, and intrinsic coaching techniques • Patient Navigation certification preferred or obtained within 1-year employment

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Retirement Plan • Paid Time Off • Holidays • Volunteer time off • Incentive Plan • Tuition Reimbursement • Flexible work environment • Training and continuing education • Community volunteering opportunities