Healthcare Navigator jobs in United States
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GEHA Health · 1 day ago

Healthcare Navigator

GEHA Health is a nonprofit member association providing health and dental benefits to federal employees and retirees. The Healthcare Navigator role involves engaging members to facilitate their access to health care services and collaborating with care teams to ensure members receive appropriate support and resources.

DentalHealth CareHealth InsuranceInsuranceMedicalMilitary

Responsibilities

Conduct outreach to member population to introduce and engage members to participate with Population Health Management team programs
Receive inbound Care Team phone calls or emails and address or route appropriately
Assesses the readiness and level of participation of members to engage in care management services
Collaborate with Care Team utilizing appropriate tools to prioritize workload and transfer member to RN if possible, or schedule appointment
Identify member needs and refer to appropriate internal and external programs. Redirect providers and members to network facilities when available
Confirm member eligibility, obtain general member information, verify demographics, and provide non-clinical information prior to the transfer of the member to the RN
Perform supportive tasks for members or care team such as sending letters, member education materials and provider lists
Assist members with contacting providers for appointments, community agencies, other care management professionals and appropriate GEHA resources

Qualification

Clinical experienceCare managementMultidisciplinary teamworkEffective communicationOutreach skills

Required

Must reside in the Kansas City Metro
Requires two years (60 credit hours) of college
Ability to work as part of a multidisciplinary team
Requires effective written and verbal communication skills
3 years' experience in a clinical setting, human services, care management or healthcare call center
Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office
A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required
Latency (ping) response time lower than 80 ms
Hotspots, satellite and wireless internet service is NOT allowed for this role
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Benefits

Competitive pay/salary ranges
Incentive plan
Health/Vision/Dental benefits effective day one
401(k) retirement plan: company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution
Robust employee well-being program
Paid Time Off
Personal Community Enrichment Time
Company-provided Basic Life and AD&D
Company-provided Short-Term & Long-Term Disability
Tuition Assistance Program

Company

GEHA Health

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G.E.H.A is one of the largest benefits providers offering medical and dental plans for federal employees, retirees and their dependents.

Funding

Current Stage
Late Stage

Leadership Team

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David Hakanson
Chief Transformation Officer
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Raj Vavilala
Chief Sales, Marketing, and Product Officer
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Company data provided by crunchbase