Healthcare Navigator

GEHA, Inc.

job description

Healthcare Navigator

Open Positions: 1

Posted Date: June 30, 2021

Location: Lee’s Summit, MO (200 Building)

Department: Population Management

Supervisor: Chelsea Hammer

Apply online at: https://geha.wd5.myworkdayjobs.com/en-US/GEHACareers/job/Lees-Summit-200/Healthcare-Navigator_R-002836

Summary Works collaboratively with care team to provide support, health education, and care coordination services to members and their families using an empowerment approach to promote positive change and participation in their health. Engages and educates members about available programs, additional resources, and GEHA services. Identifies cases for internal and external care management/cost-containment programs. Documents case information in appropriate systems.

Duties

• Collaborates with care team utilizing appropriate tools to prioritize workload.

• Conducts follow-up to assist members with reaching goals and closing gaps in care.

• Facilitates appropriate use of resources to impact the cost of care. Coordinates necessary services to improve health status for members across teams.

• Identifies member needs for and refers to appropriate internal and external programs. Redirects providers and members to in-network facilities when available.

• Provides support, empowerment, education and care coordination services to identified members as designated.

• Assists members with contacting providers, community agencies other care management professionals and appropriate GEHA resources.

• Accurately documents work with members in appropriate systems following policies and procedures.

• Communicates with facilities as needed to support transitions of care and follow-up.

• Identifies complex care issues and refers to care team nurse.

Education Requirements

Requires two years (60 credit hours) of college. Additional years of qualifying work experience may be considered in lieu of formal education.

Experience Requirements

• Five years of experience in a clinical setting, human services, care management or healthcare call center in addition to one year utilization or claims processing experience

• Ability to work as part of a multidisciplinary team.

• Requires effective written and verbal communication skills.

GEHA is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Government Employees Health Association, Inc.

OPEN POSITION

contact information

business: GEHA, Inc.
address: 200 NE Mulberry Street
Lee's Summit, MO 64086
phone: 816-257-5500 (Call Now)
website: https://geha.wd5.myworkdayjobs.com/GEHACareers

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