Health Plan Navigator I
1 day ago
- Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requirements, while receiving and responding to inquiries. Conduct research for routine inquiries. Apply basic analytical and problem-solving skills to resolve customer inquiries and issues. Research relevant information and make recommendations. Manage inventory of inquiries and coordinate with departments.
- Resolve servicing interactions by documenting and closing customer cases. Work with peers, management, and HMSA business areas to bring accurate and quality resolution for customers while continuing to follow performance guidelines.
- Participate in training to learn the foundation and basics of servicing HMSA's customers. Participate in training to be proficient in servicing at least two HMSA plans.
- Participate in servicing customers through options other than the phone. This could be written or online inquiries, in-person servicing or performing off-line data or project work.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
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Health Plan Navigator I
3 weeks ago
Honolulu, United States HMSA Full timeAssist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA‘s ability to comply with customer performance requirements, while receiving and responding to inquiries. Conduct research for routine inquiries. Apply basic analytical and...
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Health Plan Navigator I
3 weeks ago
Honolulu, United States HMSA Full timeAssist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA‘s ability to comply with customer performance requirements, while receiving and responding to inquiries. Conduct research for routine inquiries. Apply basic analytical and...
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Health Plan Navigator I
5 days ago
Kapolei, HI, United States HMSA Full timeAssist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requirements, while receiving and responding to inquiries. Conduct research for routine inquiries. Apply basic analytical and...
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Behavioral Health Navigator
1 month ago
Honolulu, HI, United States HMSA Full timeAssessment Provide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs. Communication Communicates with HMSA members, physicians, case managers, and disease management team members. Coordinate with other colleagues to ensure continuity of care for members in assigned...
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Health Plan Navigator I
4 days ago
Honolulu, United States HMSA Full timeAssist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requirements, while receiving and responding to inquiries. Conduct research for routine inquiries. Apply basic analytical and...
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Behavioral Health Service Coordinator
4 weeks ago
Honolulu, HI, United States Ohana Health Plan Full timeYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Work with Foster Care members, Medical Consenters,...
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Digital Navigator Pear Suite
2 days ago
Honolulu, HI, United States HICHW Workforce Development Full timeAbout the Company : Pear Suite’s care navigation platform empowers staff to collect, visualize, understand, and act on social determinants of health data, enabling various healthcare entities and community-based organizations to meet the social needs of their community in a culturally sensitive, person-centered way. Title : Digital Navigator Reports to :...
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Financial Navigator
2 weeks ago
Allentown, PA, United States St. Luke's University Health Network Full timeSt. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other...
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Care Navigator
3 months ago
Aurora, KS, United States Sunflower Health Plan Full timeYou 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. Remote role within the state of Kansas or KC Metro Area Position...
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Care Navigator
3 months ago
Ford, KS, United States Sunflower Health Plan Full timeYou 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. Remote role within the state of Kansas or KC Metro Area Position...
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Care Navigator
1 week ago
Jackson, MS, United States Magnolia Health Plan Full timeYou 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. Position Purpose: Develops, assesses, and coordinates care management...
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Health Navigator
3 weeks ago
Honolulu, United States HMSA Full timeAssessmentProvide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs.CommunicationCommunicates with HMSA members, physicians, case managers, and disease management team members.Coordinate with other colleagues to ensure continuity of care for members in assigned work...
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Health Navigator
3 weeks ago
Honolulu, United States HMSA Full timeAssessmentProvide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs.CommunicationCommunicates with HMSA members, physicians, case managers, and disease management team members.Coordinate with other colleagues to ensure continuity of care for members in assigned work...
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Home Health Navigator
1 week ago
Evansville, IN, United States Deaconess Home Health Full timeOverviewJoin the CommonSpirit Family, rated in the ‘Top 150 Best Places to work in Healthcare’ by Becker’s Healthcare! Be a Trailblazer in Home Health and hospice but still have the work balance you desire!Are you a visionary leader in home health and hospice ready to embrace innovation and improve patient identication and home services transitions?...
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Los Angeles, CA, United States L.A. Care Health Plan Full timeQuality and Population Health Coordinator I (ALD) Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11725 Salary Range: $46,800.00 (Min.) - $52,597.00 (Mid.) - $62,270.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent...
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Care Navigator
2 weeks ago
Ford County, KS, United States Sunflower Health Plan Full timeYou 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. Remote role within the state of Kansas or KC Metro Area Position...
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Sunnyvale, CA, United States Tbwa ChiatDay Inc Full timeSenior Motion Planning and Navigation Engineer Sunnyvale, CA Figure is on a mission to develop and deploy general purpose humanoid robots for corporate tasks targeting labor shortages and jobs that are undesirable or unsafe. We are looking for passionate and motivated superstars to grow our world-class team. We are based in Sunnyvale, CA and require 5...
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LTSS Service Care Manager
2 weeks ago
Honolulu, HI, United States Ohana Health Plan Full timeYou 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. Position Purpose:Develops, assesses and coordinates holistic care...
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Clinical RN Navigator
7 days ago
Austin, TX, United States Central Health Full timeClinical RN Navigator - Navigation CenterOverviewThe Nurse Navigator is responsible for the navigation of patients through complex healthcare environments for the optimization of care and outcomes. This position functions autonomously and in collaboration with other members of the healthcare team. Based in the Navigation Center, the Nurse Navigator is...
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Clinical RN Navigator
2 weeks ago
Austin, TX, United States Central Health Full timeClinical RN Navigator - Navigation CenterOverview The Nurse Navigator is responsible for the navigation of patients through complex healthcare environments for the optimization of care and outcomes. This position functions autonomously and in collaboration with other members of the healthcare team. Based in the Navigation Center, the Nurse Navigator is...