Care Navigator

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POST DATE 9/15/2016
END DATE 10/16/2016

Health Choice Phoenix, AZ

Phoenix, AZ
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Mid-Career (2 - 15 years)
High School Diploma or GED


Health Choice exists to improve the health and well-being of the individuals we serve through our health plans, integrated delivery systems and managed care solutions. We strive to recruit and retain only the finest health care professionals with the highest levels of integrity, compassion and competency. If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative and supportive environment while still being valued for your individual strengths Health Choice is the place for you.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

The Care Navigator is responsible for care coordination for members who require a comprehensive approach to immediate and/or ongoing care of their complicated and/or catastrophic medical illness. The Care Navigator documents interactions with and on behalf of the member throughout service delivery including, but not limited to: care plans, progress notes, correspondences, and authorizations.

Key Responsibilities:
Identify members who had a recent transition of care and assist with follow up and discharge needs

Monitor members identified through the High Utilization of ER Services Reports

Act as a liaison between Health Choice and additional services/programs, including, but not limited to: Medical Home, Care Plus Home Based Program, End of Life Care Program, Medication Management Program

Accept other job duties as indentified in the Transition of Care Program

Professional Competencies (knowledge, skills, and abilities):

Knowledge of Medicaid guidelines and regulations preferred
Experience in Medicare/Medicaid highly preferred
Knowledge of medical terminology

Computer experience necessary
Effective time management skills
Effective interpersonal and communication skills
Strong attention to detail

Maintain a positive, respectful work environment
Think analytically and make independent decisions
Management of large workload
Work cooperatively, positively, and collaboratively in an interdisciplinary team
Manage multiple projects and prioritize work tasks to adhere to deadlines and identified time frames
Handle multiple and changing priorities at a fast pace

High School Diploma or equivalent GED
Associate s degree (AS) or Bachelor s degree (BS) preferred

At least two (2) years in a health care or related setting
HMO/Managed Care/ Medicare/Medicaid experience preferred

Certification and License:
A license in a clinical field is preferred (e.g., LPN, RN, etc.)
Medical Assistant Certification preferred

Job: Business Services/Medical Records
Primary Location: Arizona-Phoenix
Organization: Health Choice
Education Level: High School Diploma/GED
Employee Status: Full Time Benefit Eligible 36-40 hrs/wk
Work Schedule: Days