Homebase Medical is getting back to basics. Our mission is to optimize the quality of life for homebound older adults, allowing them to live independently and with dignity in their own homes. We make house calls - enabling access to quality wrap-around services for homebound older adults with complex health needs while improving the quality of their lives, right at home.
We offer an array of medical and chronic care services and we're backed by SCAN, a not-for-profit organization that has a history of supporting and improving the health and independence of older adults for over 45 years.
The Care Navigator (Care Navigator 4U Rep) delivers a seamless member experience, working with members to create tailored care plans, connect members to relevant SCAN and community resources, and supporting to resolve access to care issues. Care Navigator 4U Reps will proactively work with members to improve Quality outcomes to support in both preventative as well as ongoing healthcare needs.
Responsibilities include:
- Facilitate care coordination needs of members, including creating and managing care plans tailored to unique member needs. Take inbound member calls and provide accurate, satisfactory answers to their queries and concerns.
- The Care Navigator 4U Rep will call members to educate them about benefits and resources available, offer support to connect with providers or other healthcare services, and meet the objectives of care or coordination gaps.
- Collaborate with other benefit programs and/or SCAN resources. Participate in member calling projects as assigned by management to support the overall SCAN goal of membership retention. Make outbound calls to members based on identified health interventions or quality initiatives, including member outreach to close HEDIS gaps. Encourage and provide assistance to members who may encounter obstacles to seeking care.
- Initiate and conduct patient outreach, communicating and educating individuals about the importance of HEDIS screenings and facilitating appointment scheduling as needed.
- Monitor and track the progress of outreach initiatives, meeting or exceeding quality measure targets as set by the organization.
- Utilize department desktop procedures, workflows, job aids and training material. Identify barriers to work processes and bring to the attention of the supervisor/manager. Log and trend common member issues to identify communication flow and workflow gaps.
- Maintain the member's right to privacy and protect operations by keeping information confidential.
- Adhere to all quality, compliance, and regulatory standards to achieve quality outcomes.
- Consistently meet and/or exceed the departmental standards, including, but not limited to: quality, productivity, and adherence to schedule and attendance.
- Follow all appropriate Federal and State regulatory requirements and guidelines applicable to operations, as documented in company policies and procedures. Follow all HIPAA requirements.
- Document transactions by completing applicable member forms and summarizing actions taken in appropriate computer system and following standards set by the department or by other authorized individuals.
- Actively support the achievement of SCAN's Vision and Goals.
- This position is a telephonic role and is not a member facing or healthcare worker role.
- Other duties as assigned.
Qualifications and experience:
- High School Education/GED or equivalent combination or higher
- 1-3 years of related experience.
- 2 years of customer service experience required.
- Experience with HMO/Medicare experience required
- Call Center or provider office experience a plus.
- Bilingual preferred but not required.
- Ability to deal with ambiguity in a dynamic environment, while working cross-functionally and collaboratively across the organization.
- Ability to support ongoing process development and improvement as program continues to develop.
- Maintains entrepreneurial mindset with an ability to proactively identify and resolve program risks and challenges.
- Ability to research, analyze and resolve member issues independently, while demonstrating compassion and responsiveness.
- Ability to effectively present information and respond to questions from members, providers, peers and management.
- Ability to speak using clear and professional language and answer telephone using appropriate etiquette.
- Ability to work in a fast-paced environment with changing priorities, while maintaining a calm demeanor.
- Technologically savvy and able to utilize information systems effectively.
- Strong interpersonal skills, including excellent written and verbal communication skills.
- Ability to appropriately maintain confidentiality.
- Seek to build trust, respect, and credibility with all partners through full, honest, consistent, and coordinated communication.
- Demonstrated time management and priority setting skills; ability to multi-task and manage the changing needs of the members.
- Technical Expertise - Basic technical skills for functional area.
- Problem Solving - Basic problem-solving skills.
- Communication - Good communication and interpersonal skills.
What's in it for you?
- Pay scale information: $21.77 to $34.85 per hour
- Medical, Dental and Vision insurance
- Generous PTO
- Work-life balance
- 401k
- Employee hardship fund
- And much more!
At Homebase Medical we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
Homebase Medical is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
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