Resp & Qualifications

PURPOSE:
Working as a bridge between the member, clinical and administrative staff, the Navigator helps members, families, and caregivers access the health care delivery system through external outreach, follow-up, coordination support, education, communication, and resources.

Note: We are looking for a bi-lingual (Spanish) experienced professional to work in Prince Georges & Montgomery County who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week throughout the region which may include CareFirst location(s) based on business needs and work activities/deliverables that week.

ESSENTIAL FUNCTIONS:

Act as a liaison to ensure members are connected with appropriate care channels (i.e. pharmacy, insurance, billing, referral) and have the information they need to successfully navigate their care journeys.
Outreach and follow-up with patients in between episodes of care as appropriate to promote a seamless and predictable healthcare experience. Ensure that member went to appointments and assist with coordination for transportation and pharmacy needs. Attend member centric events.
Collect all information and relay to Care Coordination team.

QUALIFICATIONS:

Education Level: High School Diploma or GED

Experience: 3 years community relations/outreach/ customer services/ health educator role

Preferred Qualifications
- Community Health Worker Certification
- Bilingual-Spanish
  Knowledge, Skills and Abilities (KSAs)
  - Strong written and verbal communication skills.
  - Problem-solving skills to tackle various tasks and challenges.
  - Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
    
    Salary Range: $37,656 - $69,036
    Salary Range Disclaimer
    
    The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
    Department
    
    Quality and Accreditation
    Equal Employment Opportunity
    
    CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
    Where To Apply
    
    Please visit our website to apply: www.carefirst.com/careers
    Federal Disc/Physical Demand
    
    Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
    PHYSICAL DEMANDS:
    The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
    Sponsorship in US
    
    Must be eligible to work in the U.S. without Sponsorship.
    #LI-SS1