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Bilingual English and Spanish C&S Stars Member Navigator - Palm Beach County, FL - Telecommute more...
Location:West Palm Beach, FL
Company:Community and State
First posted:May 19, 2017

Position Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.UnitedHealth Group is working to create the Healthcare system of tomorrow and you can help. Already Fortune 17, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.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 doingyour life's best work.

As a Bilingual Member Navigator, you will act in a liaison role with Medicaid members to ensure appropriate care is accessed as well as to provide home and social assessments and member education.

This position requires ACHA Level II Background checks (fingerprinting) by the State of Florida for all Clinicians that have face-to-face contact with members and will require renewal every five years.

Primary Responsibilities:

Locate members who need guidance
Create a positive experience and relationship with 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
May conduct HRA assessments if needed

Required Qualifications:

High School Diploma/GED
1+ years of outbound patient/member outreach experience, both telephonic and field-based/in-person
3+ years of experience working within the community Health setting in a Healthcare role
Experience and familiarity with the community organizations/resources available within the community or counties specified
Experience with both telephonic and in-person, proactive patient outreach
Knowledge of culture and values in the local community
Previous experience working with Microsoft Office and be able to utilize its applications in a professional setting
Must reside in Palm Beach County, FL
Comfortable with traveling up to 25% to 40% of the time
Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
Bilingual fluency in English and SpanishPreferred Qualifications:

Bachelor's Degree (or higher) in Social Work, LPN (Licensed Practical Nurse) licensure, or CNA/HHA
Experience working in Managed Care
Knowledge of Medicaid & Medicare populations in your local areaCareers 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 healthcare here. We serve the healthcare 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 Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your lifes 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, Palm Beach County ,FL, Insurance, customer services, customer services representative, claims, appeals, call center, phone support, dispute resolution, healthcare, UnitedHealth Group

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