The Member Navigator primary function is to be the member's liaison. Throughout the duration of services, the Member Navigator will communicate with members and caregivers to uncover and act on possible barriers to a healthy outcome, thereby safeguarding against unnecessary admissions, readmissions,...
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Develops, asse...
We're in search of a dedicated Somalian Bilingual Specialist/Cultural Navigator who can bridge this gap for our children. Join us as a Somalian Bilingual Specialist/Cultural Navigator, where you won't just interpret words, but feelings, traditions, and dreams. ...
The Navigator team at Addepar is growing!. Navigator is a quantitative liquidity risk projection tool that is one of the key components of Addepar's multi-product ecosystem. Build both within the primary Navigator application and in other parts of Addepar's product ecosystem, bridging shared concern...
We're in search of a dedicated Tigrinya Bilingual Specialist/Cultural Navigator who can bridge this gap for our children. Join us as a Tigrinya Bilingual Specialist/Cultural Navigator, where you won't just interpret words, but feelings, traditions, and dreams. ...
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Qualified cand...
We're in search of a dedicated Dari Bilingual Specialist/Cultural Navigator who can bridge this gap for our children. Join us as a Dari Bilingual Specialist/Cultural Navigator, where you won't just interpret words, but feelings, traditions, and dreams. ...
Utilize active listening and written communication skills to interact with and support patients by maintaining availability during shifts for incoming phone, chat, and emails in the language(s) in which you are fluent.Manage all care coordination needs, including but not limited to: assisting with p...
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.NOTE: This rol...
Telephonic screening, brief intervention, and referral of members to a treatment provider (SBIRT model).Apply active listening, psycho-education, and motivational interviewing skills to understand each member’s needs and provide support as they set goals to decrease substance use and/or to achieve s...
Initiates and coordinates insurance or other carrier pre-certification and prior authorization for patients.Provides financial counseling to patients.Coordinates with the business office to ensure timely claim and account follow-up.Completes the pre-certification process communicating with the patie...
Provide in-the-moment clinical support, psycho education, and connection to appropriate referrals and resources on a clinical phone queue.Utilize skills such as active listening, motivational interviewing, and solution-focused approaches to collaboratively engage with members seeking help with menta...
Crossover Health is creating the future of health as it should be.A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare—Primary Health—built on the foundation of trusted relati...
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Orlando FL, 32819 Exciting opportunity to be a part of our Specialty Mail Order Pharmacy! As a Pharmacy Service Representative, you will Customer Service Representative, Customer Service, Representative, Home, Processing, Retail. ...
Crown Roofing & Waterproofing is looking for a customer service representative to join our growing team. The target is to ensure excellent service standards, respond efficiently to customer inquiries and maintain high customer satisfaction. Proven customer support experience or experience as a clien...
Bring your heart to work at CVS Health! Our Caremark Member Operations division of CVS Health's Pharmacy Benefit Manager business is hiring hundreds of Customer Care Representatives in your area! Are you interested in a flexible work schedule and live within 75 miles of Knoxville, TN? An opportunity...
Joining our team as a Registered Nurse, you will have the opportunity to connect with patients daily and support their respiratory needs from the comfort of your home. ...
Job Title: WFH Administrative Assistant/Customer Service Location: Remote Job Responsibilities: Booking and Coordination: Assist clients in planning and booking travel arrangements, including flights, hotels, car rentals, and activities. ...
As a Care Coordinator, you would do an overview of the patient's care and care plan/update care plan. The Care Coordinator will be the first person to meet with the patient after CCM/PCM/RMP is ordered. Proactively identify and work with people, including the elderly and those with long-term cardiop...
This position is responsible for engaging in patient education, preventive health and chronic disease management, and engaging the patient in reinforcing the clinical plan of care within the scope of the Medical Assistant training and in collaboration with a comprehensive care coordination team. As ...
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Qualified cand...
Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits. May develop or assist with developing personalized service care plans/service plans for long-term care m...
Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination....
Perform clinical and operational processes related to transition / coordination of care/case management of Post-Acute Care services including but not limited to Home Health, DME, Care Coordination/Care management. Minimum 5 years clinical experience with at least 3 years managed care. ...