Care Navigator

CurativeAustin, TX
256dRemote

About The Position

Curative wants to change the view on what a health plan can be. We created a health plan reinvented for a world that is built around whole-person affordable preventive care featuring more benefits. $0 copays and $0 deductibles when members complete the Baseline Visit within 120 days of enrollment into the Plan. The Population Health Team is responsible for driving improved health outcomes, leveraging a data-first mindset to help our members achieve their optimal health well-being. As a part of Curative's Population Health team, we are seeking an experienced and dynamic Care Navigator who will be assigned member accounts and they are responsible for helping our members navigate healthcare, engage in preventive care, and partner with them towards achieving their health goals.

Requirements

  • 2+ years of experience in a medical office role/health plan/care navigation/case management.
  • At least 1 year of experience working in a clinical setting.
  • Exceptional written and verbal communication.
  • Analytical mindset.
  • Strong ability to use and learn new technology tools.
  • Strong interpersonal skills.
  • Exceptional attention to detail and organizational skills.
  • Willingness to continually self-educate.
  • Capable of working independently with minimal supervision and also as part of a team.

Nice To Haves

  • Experience working in a health plan, healthcare provider, hospitality, or customer service.
  • Understanding of medical terminology.

Responsibilities

  • Conduct, facilitate, and lead a member's initial or renewal Baseline Visit via Zoom virtual meeting.
  • Develop relationships with members and educate/assist in the completion of their baseline visit.
  • Listen to/educate/assist members towards their healthcare goals - provide motivation, coaching, facilitating, and education for members.
  • Help members review benefit concerns and connect them with the appropriate internal resources to expedite resolution of concerns and inquiries.
  • Discuss and answer benefit and appeals related questions.
  • Perform other duties and responsibilities as assigned.
  • Support special programs within the department.
  • Coordinate and complete correspondence according to established workflows.
  • Ensure assigned members have a great experience seeking and receiving care.
  • Support Curative operations by assisting with care coordination, prior authorizations, claims issues, pharmacy issues and resolution, etc.
  • Improve the member experience by anticipating care interventions before serious issues arise.
  • Be knowledgeable about our technology products, clinical programs, and policies and be able to communicate them effectively.
  • Provide feedback and input towards process improvements within the department.

Benefits

  • Remote work environment with a reliable internet and phone connection.
  • Office equipment will be supplied including: PC, monitor, keyboard, mouse, headset.
  • Stipend for internet access.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Personal and Laundry Services

Education Level

Associate degree

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