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Patient Care Advocate
2 months ago
The Member Health Navigator plays a critical role in establishing effective relationships with members to conduct health risk assessments and provide personalized support.
Key Responsibilities- Collaborate with the Integrated Care Coordination Team to ensure seamless care coordination and effective communication.
- Coordinate logistics to support care plan goals and interventions, addressing immediate member concerns as needed.
- Verify member eligibility and gather relevant information to inform care planning.
- Conduct comprehensive assessments by gathering information from members, families, providers, and other stakeholders, as directed.
- Contribute to care plan development and reporting, based on assessment outcomes and member needs.
- Provide health education and coaching to empower members to take control of their health.
- Maintain accurate documentation within established protocols and guidelines.
- Empower members to feel informed, empowered, and supported by BCforward, by starting each interaction with a member-centered approach.
- Identify opportunities for process improvement to enhance the member experience and streamline care coordination.
- Perform other job duties as assigned to support the care management program.
- High School Diploma or equivalent required.
- Minimum of two years of experience in community settings, working with at-risk populations, providing coordination of services, is preferred.
- Proficient in Microsoft Office, including Outlook, Word, and Excel.
- Sensitivity to diverse cultures and experience working within different cultural contexts.
- Excellent interpersonal skills and ability to work independently and within a team environment.
- Ability to identify problems and opportunities and communicate effectively with management.
- Developing knowledge of local, state, and federal healthcare laws and regulations and company policies regarding case management practices.
- Demonstrate compassion, support, and collaboration with members and families.
- Self-motivated and inquisitive with a willingness to learn and grow.
- Ability to work in a fast-paced environment and maintain composure during high-stress situations.
- Ability to maintain confidentiality and act in the best interest of the company.
- Proven track record of demonstrating empathy and compassion for individuals and improving processes to enhance the member experience.