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MEMBER NAVIGATORLiberty Health • Wilmington, NC, US
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Liberty Health • Wilmington, NC, US
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Job Description

Job Description

MEMBER NAVIGATOR

There’s no place like Liberty Health

Come explore career opportunities with Liberty Health , a dynamic leader in the healthcare industry. Join us!

We are currently seeking an experienced :

MEMBER NAVIGATOR

JOB SUMMARY :

  • Assists with access to care for CSNP members in collaboration with an RN case manager and nurse practitioner.
  • Obtains information for members based on the model of care requirements.
  • Obtains information to assist with evaluation of member needs.
  • Communicate effectively with individuals across the care continuum.
  • Documents member information in the electronic medical record.
  • Reviews appointments and communicates pertinent information to the RN Case Manager(s) and nurse practitioner(s) for additional interventions.
  • Collaborate with IDT for coordination of care
  • Communicate with members and / or families obtaining and providing information regarding care and needs.
  • Strong communication skills and focus on customer needs and services.
  • Assists with any member emergency as needed.
  • Recommends and / or conducts specific areas of in-service or continuing education with patients and caregivers as appropriate.
  • Assists with compliance of quality measures for CSNP program
  • Assist with HEDIS measures and collection of data
  • Assist with collection and presentation of QA data for the CSNP program
  • Participates in ICT meetings for CSNP members
  • Assist with Medication Adherence
  • Performs other duties as assigned.

JOB REQUIREMENTS :

  • Must be a high school graduate, or equivalent
  • Must be able to demonstrate computer skills, including use of e-mail, Microsoft Office Word and Excel.
  • Must be able to demonstrate effective written communication skills, including but not limited to, writing reports and correspondence.
  • Must be able to demonstrate effective verbal communication skills, including, but not limited to, speaking effectively to members, providers, families and staff and listening to members, providers and families
  • Demonstrated ability to meet deadlines, and use time effectively and efficiently.
  • Demonstrated successful experience working in an environment of change. Effectively copes with change and uncertainty; responds and "shifts gears" comfortably
  • Dedicated to meeting the expectations and requirements of both external and internal customers
  • Demonstrated ability to establish and maintain effective relationships with customers, and gain their trust and respect
  • Uses logical methods to solve problems with effective solutions; looks beyond the obvious to solutions
  • Action oriented and sees challenges as opportunities.
  • Must meet company driving standards
  • Must have a valid state driver’s license and be able to drive a car
  • Must meet company's automobile liability insurance standards and provide proof of coverage
  • Must be able to independently travel to assigned locations
  • Knowledge of community resources
  • Previous experience working with behavioral health populations
  • Experience working with low income and disadvantaged populations
  • Previous work with vulnerable adults or senior population
  • Visit www.libertycareers.com for more information.

    Background checks / drug-free workplace.

    EOE.

    PI4b63d02a034d-25405-39195652

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