What are the responsibilities and job description for the Clinical - Care Navigator position at Axelon?
Location : Remote, TX
SHIFT : We have 4 different shifts : 8 : 30-5, 9-5 : 30, 9 : 30-6, or 10 : -6 : 30 PM. OT potential - can support other departments
Duration : 6 months ( This is to cover the SCs who are out in LOA, FMLA and the openings we have open)
Job Description : Position Purpose : These positions work in a Call Center setting where the contractors are on a phone queue
- Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services. Would be working with MSC Department and assisting in taking calls for our STAR PLUS member. Team is to cover and answer calls that come in through call center.
Looking for Self-starters, eager to learn, great customer service
Responsibilities : Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan / service plan for members and educates members and their families / caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.
Education / Experience : High school Diploma or GED. Preferred : BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech
Must haves : good attendance, call center background; worked with MCO insurance
Nice to haves : background in Service Coordination, and call center experience.
Disqualifiers : no call center experience, upcoming extended PTO / time off
Performance indicators :
Software Skills : Will be using various software on the job : Microsoft Office Suite, Avaya, Zoom, Skype
Best vs. average : Customer service, call center experience Computer knowledge, specifically Excel and other Office features (Teams, Outlook, etc...) Insurance background.
