C&S Stars Member Navigator - Rochester, NY - Telecommute

Position Description:UnitedHealth Group
is working to create the Healthcare system of tomorrow and you can
help. Already Fortune 17, we are totally focused on innovation and
change. We work a little harder. We aim a little higher. We expect more
from ourselves and each other. And at the end of the day, we're doing a
lot of good.Through our family of businesses and a lot of
inspired individuals, we're building a high-performance Healthcare
system that works better for more people in more ways than ever. Now
we're looking to reinforce our team with people who are decisive,
brilliant and built for speed. Join with us and start doing your life's best work.SM
 
As a Member Navigator,
you will act in a liaison role with Medicaid members to ensure
appropriate care is accessed as well as to provide home and social
assessments and member education.Primary Responsibilities:

Locate members who need guidanceCreate a positive experience and relationship with the memberKeep the member out of the hospital by supporting regular visits to their primary physicianKeep member actively engaged with their primary physicianSupport the member to ensure pick-up of their RxProactively engage the member to manage their careProvide member educationSupport transitions of careHelp to keep members compliant with their care plansPartner with care team (community, providers, internal staff)Knowledge and continued learning of community cultures and valuesMay conduct HRA assessments if needed

Required Qualifications:
High School Diploma/GED1+ years of outbound patient/member outreach experience, both telephonic and field-based/in-person3+ years of experience working within the community Health setting in a Healthcare roleExperience and familiarity with the community organizations/resources available within the community or counties specifiedExperience with both telephonic and in-person, proactive patient outreachKnowledge of culture and values in the local communityPrevious experience working with Microsoft Office and be able to utilize its applications in a professional settingMust reside in Rochester, NYComfortable with 25% to 40% of travelAccess to reliable transportation that will enable you to travel to client and/or patient sites within a designated areaPreferred Qualifications:
Bachelor's Degree (or higher) in Social Work, LPN (Licensed Practical Nurse) licensure, CNA/HHAExperience working in Managed CareKnowledge of Medicaid & Medicare populations in your local areaBilingual in English and SpanishCareers at UnitedHealthcare Medicare & Retirement.
The Boomer generation is the fastest growing market segment in health
care. And we are the largest business in the nation dedicated to serving
their unique health and well-being needs. Up for the challenge of a
lifetime? Join a team of the best and the brightest to find bold new
ways to proactively improve the health and quality of life of these 9
million customers. You'll find a wealth of dynamic opportunities to grow
and develop as we work together to heal and strengthen our health care
system. Ready? It's time to do your life's best work.Diversity
creates a healthier atmosphere: UnitedHealth Group is an Equal
Employment Opportunity/Affirmative Action employer and all qualified
applicants will receive consideration for employment without regard to
race, color, religion, sex, age, national origin, protected veteran
status, disability status, sexual orientation, gender identity or
expression, marital status, genetic information, or any other
characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Keywords:
Insurance,Rochester, NY  , customer services, customer
services representative, claims, appeals, call center, phone support,
dispute resolution, healthcare, UnitedHealth Group