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C&S Stars Member Navigator - Baton Rouge, LA Telecommute
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Baton Rouge, LA Baton Rouge, Louisiana |
About this job
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 guidance
- Create a positive experience and relationship with the member
- Keep the member out of the hospital by supporting regular visits to their primary physician
- Keep member actively engaged with their primary physician
- Support the member to ensure pick-up of their Rx
- Proactively engage the member to manage their care
- Provide member education
- Support transitions of care
- Help to keep members compliant with their care plans
- Partner with care team (community, providers, internal staff)
- Knowledge and continued learning of community cultures and values
- May conduct HRA assessments if needed
Required Qualifications:
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, Baton, Rouge, LA , customer services, customer services representative, claims, appeals, call center, phone support, dispute resolution, healthcare, UnitedHealth Group
- High School Diploma/GED
- 1+ years of outbound patient/member outreach experience, both telephonic and field-based/in-person
- 2+ years of experience working within the community Health setting in a Healthcare role
- Experience, familiarity or knowledge of community organizations/resources available within the community or counties specified
- Experience with both telephonic and in-person, proactive patient outreach
- Knowledge of culture and values in the local community
- Previous experience working with Microsoft Office and be able to utilize its applications in a professional setting
- Must reside in greater Baton Rouge, LA
- Comfortable with 25% to 40% of travel within employee’s region/state
- Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
- Bachelor's Degree (or higher) in Social Work, LPN (Licensed Practical Nurse) licensure, CNA/HHA
- Experience working in Managed Care
- Knowledge of Medicaid & Medicare populations in your local area
- Bilingual in English and Spanish or Vietnamese
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, Baton, Rouge, LA , customer services, customer services representative, claims, appeals, call center, phone support, dispute resolution, healthcare, UnitedHealth Group
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