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Care Navigator (Remote)

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Actalent

13d ago

  • Job
    Full-time
    Mid Level
  • Customer Relations
    Healthcare
  • Dallas

AI generated summary

  • You must be in Texas, have a High School Diploma or GED, 4+ years in call center (MCO), and preferably experience with vulnerable populations. Bilingual in Spanish is a plus.
  • You will develop personalized care plans, coordinate between members and care providers, and maintain documentation to ensure compliance with regulations.

Requirements

  • Must be located in Texas
  • High School Diploma or GED is Mandatory
  • 4+ Years of Call center Experience with a (managed care organization) MCO is Mandatory
  • Experience working with people with disabilities and vulnerable populations who have chronic or complex conditions is Preferred
  • Bilingual in Spanish and English is highly preferred

Responsibilities

  • Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care
  • Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner
  • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators

FAQs

Is this position fully remote?

Yes, this position is remote, but candidates must be located in Texas.

What are the main responsibilities of a Care Navigator?

The main responsibilities include developing personalized care plans, coordinating services between members and care providers, and maintaining compliance with regulatory requirements.

What educational qualifications are required for this role?

A High School Diploma or GED is mandatory for this position.

How many years of experience in a call center environment are required?

A minimum of 4 years of call center experience, preferably with a managed care organization (MCO), is required.

Is bilingual proficiency necessary for this role?

Bilingual proficiency in Spanish and English is highly preferred for this position.

What type of experience is preferred for this role?

Experience working with people with disabilities and vulnerable populations who have chronic or complex conditions is preferred.

Who should I contact if I am interested in this position?

If you are interested, please give a call to (726) 216-6069.

Does Actalent provide equal employment opportunities?

Yes, Actalent is an equal opportunity employer and considers all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.

What should I do if I need a reasonable accommodation during the application process?

If you need a reasonable accommodation due to a disability, please email actalentaccommodation@actalentservices.com for assistance and other accommodation options.

An Engineering and Sciences Services Company | People to Possible

Human Resources
Industry
5001-10,000
Employees

Mission & Purpose

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent’s global footprint and flexible delivery models ensure access to specialized talent where and when you need it. We promote consultant engagement through professional development and provide experiences to ensure continuous learning. Our people are the difference. Our expertise spans capabilities in engineering including product and manufacturing, systems and software, construction management, environmental, architecture and civil; and power and utilities. We focus on sciences capabilities in laboratory sciences, healthcare, and clinical research. Actalent is an operating company of Allegis Group, the global leader in talent solutions.