[Remote] Care Coordination Navigator

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Note: The job is a remote job and is open to candidates in USA. Blue Cross Blue Shield of North Dakota is committed to providing personalized service and access to care for North Dakotans. The Care Coordination Navigator will guide members in making sustainable lifestyle changes and collaborate with Care Management Registered Nurses to create personalized wellness plans and offer ongoing support.


Responsibilities

  • Collaborates closely with team members to facilitate members' access to essential services
  • Engages with patients and their caregivers to enhance involvement and address obstacles throughout their healthcare journey
  • Empowers members to adopt positive changes in diet, exercise, stress management, and safety practices
  • Reviews and manages care referrals for registered participants and non-registered participants
  • Assesses members' needs during telephonic and/or digital interactions and refers them, as necessary, for targeted medical support
  • Applies motivational interviewing techniques in tandem with members' readiness to reinforce mutually agreeable goals for progress
  • Reaches out proactively to eligible members, encouraging enrollment in the program
  • Distributes approved health education materials to program participants through online resources, mail, or digital applications
  • Reinforces engagement strategies to encourage member participation in preventive care, health screenings, and wellness programs offered by the insurance company or its partners
  • Connects patients and their families to community-based resources and performs follow-up to ensure resources met needs based on social determinants of health identified needs
  • Enters referrals and documents communications, actions, and other data in appropriate system(s) to maintain records for audit purposes
  • Performs work under direct supervision. Handles basic issues and problems and refers more complex issues to higher-level staff

Skills

  • An associates degree required in healthcare, business or related field
  • 2 years of experience in healthcare, insurance, customer service, or related experience in a direct patient care setting
  • Basic clinical knowledge with the ability to apply foundational clinical concepts in daily work
  • Ability to communicate effectively with members, caregivers, and team members using strong interpersonal skills
  • Demonstrated ability to make sound decisions and use good judgment within the scope of the role
  • Ability to adapt to changing priorities, workflows, and member needs with flexibility
  • Strong collaboration skills with the ability to work effectively within a team environment
  • Clear verbal and written communication skills to support member interactions and documentation
  • Experience as a Community Health Worker preferred
  • Experience working with populations that have social needs

Benefits

  • Affordable medical, dental and vision coverage accepted throughout the United States
  • Employer funded Lifestyle Spending Accounts and Health Savings Accounts. Voluntary employee contributions to Health Savings Accounts and Flexible Spending Accounts
  • Employer-paid life and disability insurance
  • 401(k) retirement plan with company match and immediate vesting
  • Paid holidays, paid time off (PTO), PTO donation program, and paid parental leave
  • Voluntary benefits including Accident, Hospital Indemnity, Critical Illness, Term/Whole Life, Cancer Care Insurance, and more.
  • Robust mental health offerings including an Employee Assistance Program, Learn to Live, meQ.
  • Comprehensive learning and development opportunities and an Educational Assistance Program.
  • 16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours.
  • Employee recognition, community initiative events and yearly company outings.
  • Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments.
  • Opportunities to connect through employee committees.

Company Overview

  • A not-for-profit health insurance company It was founded in 1940, and is headquartered in Fargo, North Dakota, USA, with a workforce of 501-1000 employees. Its website is https://www.bcbsnd.com/jobs/.

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