Care Coordination Specialist

3 weeks ago

Wisconsin Rapids, United States Navvis Full time
About Us:

Navvis is a Real-Person Care company with a transformative approach to population health. Our groundbreaking approach responds to how people really live their lives, day in and day out. Navvis Real-Person Care is integrated and holistic, physician-led and person-centered. Our entire approach begins with asking people a simple question that no one else is asking: Not, 'what's the matter with you?' but, 'what matters to you?'

Navvis delivers seamless, high-performing and aligned provider networks, care coordination, and value-base care models.

We partner with health plans , health systems, providers and employers to eliminate the barriers, boundaries, and siloed efforts that fragment care. We help our clients move from a system that is complicated and frustrating to one that is centered on people's real-life needs.

Real life. Life changing. Changing healthcare. That's Navvis.

Learn more at: www.navvishealthcare.com

Department Overview:

What if we routinely asked every person involved in providing or receiving care: "What matters to you and why?" How would understanding "what matters" enhance our ability to transform health in communities and strengthen the connective process, leading to deeper levels of interaction and integration? At Navvis - Client Partner Operations, we are deeply passionate about understanding what matters to people to ensure the delivery of Real-Person Care. We create an ecosystem that builds a foundation for better physical, social, and emotional health. Our Care Solutions, Analytics, Implementations, Clinical and Business Operations, and Learning and Development teams work tirelessly in partnership with our clients and stakeholders in communities to address the real-life healthcare needs people have every day.

As a Care Coordination Specialist (CCS) you will:

Work in collaboration with the multidisciplinary health care team, providers, and patients to engage the patient in their plan of care and ensure coordination and completion of open quality measures care gaps.

A Day in the Life:
  • Facilitate multiple components of patient care including but not limited to scheduling, gaps in care closure, and ensuring all collected data is entered into the designated care management module timely and accurately
  • Generate and receive calls from patients and providers to coordinate services to satisfy high risk member needs
  • Provide support to the RN Care Manager in administrative tasks related to referrals of high-risk members to other Health Management Programs, services, and community resources
  • Report any possible issue related to the members health care to the appropriate stakeholder, such as the Nurse or other member of the multidisciplinary health care team in a timely manner
  • Provide monitoring and outreach as indicated for members who may need gap in care closure, annual HRA, or monitoring for a change in condition/status. Document all calls, outreach attempts, interventions, /activities, and any additional information in the appropriate electronic tool and/or platform.
  • Facilitate chart/record submission, portal data entry, and supplemental data submission to various payers as required
  • Assist with Care Navigation
  • Complete proactive outreach and engagement for patients with open care gaps to assist with care gap closure
  • Generate reports as required
  • Works in compliance with federal, state, and local regulations that apply to all lines of business population
  • Comply with all assigned organizational performance and quality metrics.
  • Other tasks as assigned by the supervisor or designee that are essential to the job
What Success Looks Like in this Role:
  • Basic knowledge of medical/clinical terminology.
  • Possess capability to work with Microsoft Office in an efficient and productive manner (Word, Excel, Power Point, Microsoft Teams, and Outlook).
  • Must respect organizational and individual cultural diversity and compassion towards member population.
  • Accurate time management.
  • Effective verbal and written communication skills.
  • Ability to interact with people at all levels of the health care system.
  • Capability for problem solving and prioritizing and completing multiple tasks
  • Use logic and reasoning to identify barriers and effective solutions and different approaches for problem solving.
  • Ability to adapt to different scenarios and constant changes
Requirements

We are excited about you if you have these things:
  • High School diploma required; some college preferred
  • 2+ years of health care customer service or call center experience preferred
  • Medical Assistant with call center experience desired
  • Medical Terminology desired
  • Excellent customer service skills
  • Knowledge of population health a plus
  • Bilingual a plus
  • This position entails a requirement to work in the office for two days per week

What you'll get:

Navvis is committed to attracting the most insightful and motivated talent by providing a candidate and onboarding experience that you won't find elsewhere We foster an environment and culture that allow people to be creative, feel connected and be inspired to do their best work no matter where they are on the map. For all colleagues at Navvis, we strive to ensure that they have everything needed to be successful. From the basics like a competitive total rewards strategy, volunteering and social engagement activities to creating company experiences that challenge you to think differently and do different things as part of our never stop learning ecosystem, we support the whole person when you become a team member at Navvis.

Navvis offers a competitive benefits package including, but not limited to, medical, dental, vision, 401K with a safe harbor contribution and Paid Time Off plan starting at 2+ weeks.

Our Commitment:

Navvis is an equal employment opportunity and affirmative action employer seeking diversity in qualified applicants for employment. All applicants will receive consideration for employment without regard to race, ethnicity, color, gender, gender identity, age, religion, creed, national origin, ancestry, disability, perceived disability, medical condition, genetic information, military or veteran status, sexual orientation, or any other protected status, as defined by applicable law. Prior to the next step in the recruiting process, we welcome you to inform us confidentially if you may require any special accommodation to complete your application and participate fully in our recruitment experience. Contact us at H.R@navvishealthcare.com.

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