MEMBER NAVIGATOR in Wilmington, North Carolina at Liberty Health

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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.