Care Coordinator - 176500

Care Navigator – Outbound Member Engagement

Position Overview :

This is a high-volume outbound call role , focused on connecting with members to discuss their benefits, complete health and lifestyle assessments, and guide them through available support programs. The Care Navigator plays a key role in helping members understand and access enhanced services under the 1115 Waiver and other community-based resources.

Key Responsibilities :

• Conduct outbound calls to members to initiate conversations about benefits and perform initial health and living situation assessments.
• Explain available programs and services, ensuring members understand their eligibility under the 1115 Waiver.
• Assess members' eligibility for enhanced Health-Related Social Needs (HRSN) services and connect them with appropriate local, state, or federal resources.
• For members not yet engaged, perform outreach and document all contact attempts according to established timelines and communication protocols.
• Obtain and record member consent and attestation during the engagement process.
• Utilize screening tools to identify needs such as housing, food access, or transportation.
• Communicate regularly with internal teams, community partners, and service providers to ensure referrals are accepted, completed, or redirected as necessary.
• Accurately document all outreach activities, referrals, and progress notes in accordance with program quality standards.
• Collaborate closely with supervisors and team members to achieve outreach and engagement goals.

Required Skills & Qualifications :

Preferred Experience :

Key Attributes :