Navigator, Healthcare Access - Remote

Job description

JOB DESCRIPTION Job Summary Provides support for member navigator activities. Responsible for telephonic liaison support to members navigating individual health care needs - identifies barriers to healthy outcomes and care, and ensures members have necessary support and resources to meet heath care goals. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties: - Serves as member liaison throughout program life cycle - providing support and resources to members, and understanding of program benefits and resources available for desired health care outcomes. - Communicates with members and caregivers to uncover and act on possible barriers to healthy outcomes - thereby safeguarding against unnecessary admissions, readmissions, urgent care and emergency department visits. - Completes member welcome calls on date of notification of assignment and/or discharge. - Manages appropriate and timely member appointment scheduling, confirmations and appointment reminders; mails letters as needed. - Conducts and collaborates on action plan creation for member barriers. - Identifies and connects member to resources for addressing social determin...