Care Navigator

Care Navigator

Work Location: Remote - Texas

Assignment Duration: 6 months

Work Schedule: 9:30 AM to 6:00 PM (with overtime based on business needs)

Work Arrangement: Remote call center

• Take calls all day in a remote call center.
• Assist and educate individuals or legally authorized representatives in the STAR Kids Medicaid program on LTSS benefits and services such as MDCP, PCS, DAHS, Respite (LTSS list not all inclusive), and DME requests.
• Remote call center, engagement via Teams.

• Handle inbound calls and assist STAR Kids members or representatives.
• Educate callers about LTSS programs and benefits.
• Use Microsoft Office Suite, Avaya, Zoom, and Skype for daily tasks.
• Document all calls using proper grammar and punctuation.
• Maintain excellent attendance and professional communication.

• Education/Certification: High School Diploma required.
• Preferred but not required: BA in Social Work or Healthcare Management, LVN, CNA, CMA, RT, or Pharmacy Tech.
• Years of
  
  Experience:
  
  4 years' experience in call center, Medicaid, and MCO insurance required.
• Must Haves: Good attendance, call center experience, and MCO insurance background.
• Nice to Haves: Service coordination or healthcare-related call center background.
• Disqualifiers: No call center experience.
• Performance Indicators: Consistent attendance, call quality, proper documentation, and active listening.
• Software
  
  Skills:
  
  Microsoft Office Suite, Avaya, Zoom, Skype.