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Member Navigator - Spokane, WA

UnitedHealth Group


Location:
Spokane, WA
Date:
04/19/2018
2018-04-192018-05-18
Job Code:
759605
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Job Details

759605 Member Navigator Spokane WA

Member Navigator - Spokane, WA (759605)

Position Description

 
Through our family of businesses and a lot of inspired individuals, we're building a high-performance Healthcare system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed.  Join with us and start doing your life’s best work.
 
As a Member Navigator, you will act in a liaison role with United Healthcare Dual Special Needs Community & State members to ensure appropriate care is accessed as well as to provide home and social assessments and member education.
 
Primary Responsibilities:
  • Locate members who need guidance
  • Telephonic and in person outreach
  • Create a positive experience and relationship with the member
  • May focus primarily on conducting health risk assessments with members
  • If assigned health plan members to assist in completion of recommended screenings and tests:
    • Inquire if members need help with any specific barriers to healthcare
    • Identify health plan resources or local community resources to provide solutions for the member
    • Keep the member out of the hospital by supporting regular visits to their primary physician
    • Keep member actively engaged with their primary physician
    • Support the member to ensure pick-up of their Rx
    • Proactively engage the member to manage their care
    • Provide member education
    • Support transitions of care
    • Help to keep members compliant with their care plans
    • Partner with care team (community, providers, internal staff)
    • Knowledge and continued learning of community cultures and values
Required Qualifications:
  • High School Diploma / GED
  • 3+ years of experience working within the community Health setting in a Healthcare role
  • Knowledge of culture and values in the local community
  • Outbound patient / member outreach experience, both telephonic and field-based / in-person
  • Familiarity with the resources available within the community
  • Experience using a computer and Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort, filter, and work within tables), and Microsoft Outlook (email and calendar management)
  • Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
  • Must be able to travel 25%-75%
  • Must reside in Spokane, WA

Preferred Qualifications:

  • Bilingual (English, and, Korean, Vietnamese, Russian, Mandarin, Spanish or Cantonese)
  • Experience working in Managed Care
  • Knowledge of Medicaid and Medicare populations in your local area
  • Bachelor's Degree or higher
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.
 
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
Keywords: UHG, Insurance, customer services, customer services representative, community health worker, Spokane, WA.

Job Details

  • Contest Number759605
  • Job TitleMember Navigator - Spokane, WA
  • Job FamilyMedical and Clinical Operations
  • Business SegmentCommunity and State

Job Location Information

  • Spokane, WA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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