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3 weeks ago
About Alta Hospitals: As a leading healthcare provider in California, Texas, and Rhode Island, Alta Hospitals offers a wide range of medical services to its 260,000 members. With approximately 9,000 physicians on our network, we strive to provide high-quality care that is convenient, personalized, and effective.
Salary: $62,000 - $82,000 per year, depending on experience and qualifications.
About the Job: We are seeking a skilled Healthcare Navigator to join our team of professionals who work tirelessly to support our members' health needs. The successful candidate will be responsible for coordinating care, managing referrals, and providing educational resources to our members. This role requires excellent communication skills, attention to detail, and the ability to work effectively in a fast-paced environment.
Key Responsibilities:
• Screen incoming phone calls to determine urgency and direct calls to appropriate Medical Management staff.
• Conduct telephonic outreach to members to discuss and offer Outpatient clinical programs.
• Requests and gathers necessary medical records to confirm program eligibility.
• Coordinate care for members as appropriate, such as scheduling appointments, creating authorizations, and escalating to the assigned case manager when necessary.
Requirements: Minimum Education: High School Diploma required; Associates Degree or higher preferred. Minimum Experience: Minimum of two (2) years of experience in Case Management Care Coordination in an HMO environment; or any combination of education and experience which would provide an equivalent background required. Proficiency in Microsoft Office navigation, Excel, Outlook, Teams, Word, and other applicable systems needed for the role.
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