Care Management Navigator
2 days ago
Overview Provides support to the Care Coordinators and other staff in the resolution of member related issues. Communicates with members and their families regarding information about MLTC services. Provides summary reports, analysis and support for care coordination related activities. Participates in non-clinical customer service for members enrolled in the VNS Health Plans MLTC plan in collaboration with Care Coordination department and other healthcare professionals. Works under general supervision. Compensation: $20.98 - $26.23 Hourly What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 20daysof paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life andDisability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community ofProfessionals. What You Will Do Works with members, providers, and staff to identify and resolve member service and retention related issues. Educates potential members/community representatives on plan features, plan benefits, and program admission requirements. Coordinates telephonic intake and responses to both clinical and non-clinical customer service issues. Identifies nature of issue, independently responds to and resolves non-clinical issues and complaints and escalates clinical issues to appropriate department and staff. Assists in monitoring member satisfaction through phone calls to verify service, answering questions and providing information. Documents member service issues, identifies trends and recommends potential solutions. Maintains expertise in VNS Health Plans MLTC benefits, network and organization structure. Acts as a resource to members to guide them in accessing their benefits. Places orders or referrals for services and follows up to ensure services are scheduled and provided. Processes and monitors invoices for payment. Serves as a resource for MLTC Care Coordinators and other staff in the resolution of member-related issues. Establishes effective customer-focused working relationships with members, physicians and providers of long-term care services. Audits system-generated reports, reconciles data, and distributes reports to management for review. Participates in interdisciplinary team meetings and provides input on customer service-related activities. Protects the confidentiality of member information and adheres to company policies regarding confidentiality. Ensures compliance with the VNS Health Plans OICE policies and procedures as well as all Federal and State regulations. Qualifications Licenses and Certifications: Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs, required Education: High School Diploma or equivalent, required Associate's degree in a healthcare related field, preferred Work Experience: Minimum of one year of customer service experience, required #J-18808-Ljbffr
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Care Management Navigator, Bilingual
4 weeks ago
New York, United States VNS Health Full timeProvides support to the Care Coordinators and other staff in the resolution of member related issues. Communicates with members and their families regarding information about MLTC services. Provides summary reports, analysis and support for care coor Management, Bilingual, Navigator, Customer Service, Healthcare, Care Coordinator
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Patient Care Navigator
7 days ago
New York, New York, United States Harlem United Community AIDS Center Inc Full timeAbout Harlem United Community AIDS Center Inc.">We are a leading healthcare provider dedicated to delivering comprehensive care services to individuals affected by HIV/AIDS and other health disparities. Our team is committed to providing personalized support, empowering patients to achieve optimal health outcomes.Job Title: Patient Care NavigatorEstimated...
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Care Navigator
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New York, United States Tembo Health Full timeAbout the Company Change the future of dementia care with Tembo Health. We're making it effortless to manage dementia and senior health by deploying evidence-based clinical pathways and embedding technology built for seniors. Most PCPs may be uncomfortable diagnosing and managing dementia, leaving families feeling confused and unsupported. Making matters...
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Primary Care Navigator
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New York, New York, United States The Center for Alternative Sentencing and Employment Services (CASES) Full timeWe are seeking a dedicated and compassionate Registered Nurse to join our team at The Center for Alternative Sentencing and Employment Services (CASES) in New York, NY. This role offers an annual salary of $98,000, paid time off, 12 holidays per year, retirement plan, medical, dental, vision, and employee referral program benefits.About the Role:As a Primary...
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Homeless Care Navigator
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New York, New York, United States MetroPlusHealth Full timeAbout UsMetroPlusHealth is a leading healthcare provider committed to delivering exceptional services to the communities we serve. Our team of dedicated professionals shares a passion for empowering individuals and families to achieve optimal health and well-being.Job SummaryWe are seeking a compassionate and skilled Homeless Care Navigator to join our team....
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Care Navigator
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New York, United States Salvo Health Full timeSalvo is looking for an experienced LPN to support our chronic disease patients. In this role, you'll be a key contributor to the management and delivery of our care program, working closely with our patients, registered dietitians, and partner physicians to provide best-in-class care. You'll use your medical knowledge and product expertise to help our...
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Post-Acute Care Navigator
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Hospice Care Navigator
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End-of-Life Care Navigator
7 days ago
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Healthcare Navigator
7 days ago
New York, New York, United States NYC Health Hospitals Full timeJob OverviewNYC Health Hospitals is seeking a skilled Nurse to join our team as a Healthcare Navigator - Home Care Specialist. In this role, you will play a vital part in providing high-quality care to patients in their homes. If you are passionate about delivering exceptional patient care and have excellent communication skills, we encourage you to...
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Care Navigator
4 weeks ago
New York, United States Salvo Health Full timeSalvo is looking for an experienced LPN to support our chronic disease patients. In this role, you'll be a key contributor to the management and delivery of our care program, working closely with our patients, registered dietitians, and partner physicians to provide best-in-class care. You'll use your medical knowledge and product expertise to help our...
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Care Coordination Navigator
1 month ago
New York, United States NADAP Full timePosition Summary The Field Based Care Coordination Navigator (CCN) provides assessment, care planning, and service coordination activities for low to medium risk, Medicaid eligible clients. The CCN works closely with networks of medical and behavioral health providers to manage identified needs, stabilize participants and reduce healthcare costs and align...
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UFE Navigator
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Client Navigator-Level I
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New York, United States NYC Health Hospitals Full timeLincoln Medical and Mental Health Center is one of New York City's premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly trained and caring medical...
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Patient Navigator
4 weeks ago
New York, United States Weill Cornell Medical College Full timeTitle: Patient Navigator Location: Upper East Side Org Unit: Multiple Sclerosis Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary Range: $28.57 - $36.15 *As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summary Under direct supervision, the Patient...
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Healthcare Navigator
7 days ago
New York, New York, United States Bowery Residents Committee Full timeJob SummaryWe are seeking a skilled Healthcare Navigator to join our team at the Bowery Residents Committee.About the RoleThis is a challenging and rewarding position that requires strong organizational and communication skills, as well as a passion for healthcare and community development.Key ResponsibilitiesCoordinate healthcare services for clients,...
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Senior Social Care Navigator
6 days ago
New York, New York, United States Public Health Solutions Full timeJob Title: Senior Social Care Navigator - Community Health AdvocateAbout the Role:We are seeking a highly skilled and compassionate Senior Social Care Navigator to join our team at Public Health Solutions. As a key member of our organization, you will play a vital role in connecting vulnerable Medicaid populations with essential community-based social...
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Senior Clinical Navigator
6 days ago
New York, New York, United States ConcertoCare Full timeJob OverviewAt ConcertoCare, we are seeking a highly skilled and compassionate Senior Clinical Navigator to join our team. As a key member of our Population Health Team, you will play a vital role in coordinating the care of complex patients across the continuum of care.About the RoleWe are looking for a seasoned registered nurse with at least 4 years of...
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Patient Navigator
1 month ago
New York, United States Spring Fertility Full timeWho is Spring Fertility? We're a passionate, dedicated team of leading physicians and scientists who came from some of the best research hospitals and fertility centers around the world to become the fastest growing fertility group in the country. We offer the most patient-centric, individualized, flexible and compassionate care. Our mission is to partner...
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Patient Navigator
2 weeks ago
New York, United States Spring Fertility Full timeWho is Spring Fertility? We're a passionate, dedicated team of leading physicians and scientists who came from some of the best research hospitals and fertility centers around the world to become the fastest growing fertility group in the country. We offer the most patient-centric, individualized, flexible and compassionate care. Our mission is to partner...