Clinical - Care Navigator - J01009

Location : 100% Remote -TX

Shift : Hours of operation is 8-6 : 0 : 30 CST pm. We have 4 different shifts :

8 : 30-5, 9-5 : 30, 9 : 30-6, 10 : -6 : 30

Lunch break : 1 hour during training, once assigned shift 30 minutes & 2 15-minute breaks

OT potential can support other departments with authorization

Duration : 6+ months, this role is to cover staff member out on LOA or FMLA

Job Description : Position Purpose :

• These positions work in a Call Center setting where the contractors are on a phone queue
• Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.

Would be working with MSC Department and assisting in taking calls for our STAR+PLUS member.

Team is to cover and answer calls that come in through call center

Must Haves :

Years Experience : Over 5 years of experience working directly with the ABD (Aged, Blind, and Disabled) population in call center environments, Medicaid programs, and Managed Care Organizations (MCOs). Skilled in supporting individuals with disabilities and vulnerable populations managing chronic or complex health conditions. Demonstrated expertise in providing care coordination for children, young adults, and other high-need groups within the past three of the last five years.

Must haves : good attendance, call center background; worked with MCO insurance

Nice to haves : background in Service Coordination, and call center experience.

Disqualifiers : no call center experience Education / Certification High Schook Diploma Preferred BUT NOT Required : BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech Licensure n / a Preferred :