Healthcare Navigator II
5 days ago
PacificSource is committed to delivering quality, affordable care to our members. As a Member Support Specialist, you will play a vital role in ensuring that our members receive the support they need to navigate the complexities of the healthcare system.
Job SummaryThis position requires a minimum of three years of experience in community services or healthcare agencies focused on coordination services. You will work as an integral part of the case management team to serve as a resource to members, working telephonically and in person to support members with complex psycho-social issues.
Responsibilities- In coordination with the member's case manager, develop and implement goals and/or plans tailored to assist members in navigating the complexities of the healthcare system.
- Educate members on understanding and working within the parameters of their benefit structure.
- Utilize motivational interviewing and patient-engagement techniques to support members in achieving optimal health outcomes by effectively utilizing their benefits.
- Identify community resources and make referrals to members as appropriate.
- Serve as liaison between members and providers/agencies.
- Identify members for coordination and case management services through a variety of methods, including claims data and reports.
- A minimum of three years of experience in community services or healthcare agencies focused on coordination services.
- Experience in health insurance and delivering group presentations preferred.
- High school diploma or equivalent required.
- Medical terminology knowledge.
- Proficient in Microsoft Office, including Word, Excel, PowerPoint, Medical management software (e.g CaseTrakker Dynamo).
We offer a comprehensive benefits package, including medical, dental, and vision coverage, 401(k) matching, and paid time off.
About PacificSourcePacificSource values diversity and inclusion in the workplace and encourages applications from candidates of all backgrounds.
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