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Care Coordination Navigator

3 months ago

Bismarck, United States Blue Cross Blue Shield of North Dakota Full time

BCBSND - Fargo 4510 13th Ave South Fargo, ND 58121, USA You likely know us as an insurance company, but that’s just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It’s a mission we take seriously. We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota. This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond. Work environment This opportunity is eligible for remote (within driving distance of Fargo, ND), hybrid or an in-office work arrangement out of our Fargo, ND office. We empower our employees to find a work style that is best for them. Pay information FLSA Category: Non-Exempt - Hourly A day in the life The Care Coordination Navigator is responsible for guiding and supporting members in making sustainable lifestyle changes to improve their overall health and well-being. This position, in collaboration with the Care Management RNs, works closely with members to create personalized wellness plans, reinforce education, and offer ongoing support to help them reach their health goals. Your responsibilities will include: Collaborates closely with team members to facilitate members' access to essential services. Engages with patients and their caregivers to enhance involvement and address obstacles throughout their healthcare journey. Empowers members to adopt positive changes in diet, exercise, stress management, and safety practices. Reviews and manages care referrals for registered participants and non-registered participants. Assesses members' needs during telephonic and/or digital interactions and refers them, as necessary, for targeted medical support. Applies motivational interviewing techniques in tandem with members' readiness to reinforce mutually agreeable goals for progress. Reaches out proactively to eligible members, encouraging enrollment in the program. Distributes approved health education materials to program participants through online resources, mail, or digital applications. Reinforces engagement strategies to encourage member participation in preventive care, health screenings, and wellness programs offered by the insurance company or its partners. Connects patients and their families to community-based resources and performs follow-up to ensure resources met needs based on social determinants of health identified needs. Performs work under direct supervision. Handles basic issues and problems and refers more complex issues to higher-level staff. Enters referrals and documents communications, actions, and other data in appropriate system(s) to maintain records for audit purposes. What you need to succeed An Associate's degree in a Healthcare related field. 2 years’ experience in healthcare (insurance, customer service, direct patient care setting) or related experience is required to be successful in this role. Effective interpersonal communication will be important as this role works directly with BCBSND members. Ability to be flexible and adaptable to varying situations. Have a collaborative approach with both members and the Care Coordination team. Have good communication skills both verbally and in writing, using both skills to work with members and the team. Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards. Benefits and perks Wellness incentives including well-being lifestyle spending accounts, employee assistance program and employee discounts. Encouraged paid time off including paid holidays and flexible holidays to use as you wish. 16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours. Employee recognition, community initiative events and yearly company outings. Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments. Our core benefits include health, dental, vision and life insurance, short-term and long-term disability and paid parental leave. Equal opportunity employment Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities, as well as Sexual Orientation or Gender Identity. This job posting will be closed 8/19/2024 at 8:00 a.m. (CT). No further applications will be considered. #J-18808-Ljbffr