BCBST is looking for a Health Navigator to join the health promotion team within BlueCare Plus Clinical Support. BlueCare Plus is a high-performing health plan and you’ll contribute to our continued outstanding performance as a patient and knowledgeable Health Navigator, who is responsive to the needs of our members.  In this role, you will assist our members with needs such as DME (durable medical equipment), Home Health, and provider appointments post-discharge.  This role has an administrative component, and you will obtain Health Risk Assessments and complete incoming faxes.  We are a remote-first organization and a fully developed team.

Our ideal candidate has experience working in customer service, in a medical office setting, or with the senior population.  In addition, you will be a great match for this role if you can work independently, are patient, and have a strong knowledge medical terminology.

The role has a weekly rotating schedule of 7:30-4pm, 8:00-4:30pm and 8:30-5:00pm EST. With occasional late shift to 6pm as needed.

Job Responsibilities

Conducting educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention.Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries.Work overtime as neededVarious immunizations and/or associated medical tests may be required for this position.This job requires digital literacy assessment. 

Job Qualifications

Education

Associates Degree in, education, communication, or health related field or equivalent work experience

Experience

2 years - Experience in a customer service support role is required

Skills\Certifications

Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.Proficient interpersonal and organizational skillsIndependent, Sound decision-making and problem-solving skillsMust be able to work in an independent and creative manner.Self-motivated and able to manage multiple tasks and set priorities.Effective time management skillsExcellent oral and written communication skillsStrong interpersonal and organizational skillsKnowledge in Medical terminology

Number of Openings Available:

1

Worker Type:

Employee

Company:

VSHP Volunteer State Health Plan, Inc

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST is an Equal Opportunity employer (EEO), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Tobacco-Free Hiring Statement

To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test.  An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine  and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.

Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.