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C&S STARS Member Navigator - Field Based in Multiple MI Counties

11/06/2018Call Center
Job Location:
Pontiac, MI
Metro Area:
MI - Detroit
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.As a Member Navigator, you will act in a liaison role with United Healthcare Dual Special Needs Community & State members to ensure appropriate care is accessed as well as to provide home and social assessments and member education.Locations for this position: Livingston County, MI, Oakland County, MI, Washtenaw County, MI and Wayne County, MIPrimary Responsibilities:Locate members who need guidanceTelephonic and in person outreachIn person outreach may vary from 25% - 75%Create a positive experience and relationship with the memberMay focus primarily on conducting health risk assessments with membersIf assigned health plan members to assist in completion of recommended screenings and testsInquire if members need help with any specific barriers to healthcareIdentify health plan resources or local community resources to provide solutions for the memberKeep the member out of the hospital by supporting regular visits to their primary physicianKeep member actively engaged with their primary physicianSupport the member to ensure pick - up of their RxProactively engage the member to manage their careProvide member educationSupport transitions of careHelp to keep members compliant with their care plansPartner with care team (community, providers, internal staff)Knowledge and continued learning of community cultures and values


Required Qualifications:High School Diploma / GED (or higher)3+ years of experience working within the community Health setting in a Healthcare role.1+ years of outbound patient / member outreach experience, both telephonic and field - based / in - personExperience using a computer and Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort, filter, and work within tables), and Microsoft Outlook (email and calendar management)Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated areaAbility to travel 25% - 75% of the time throughout the State of Michigan Must reside in the one of the following counties or surrounding areas: Livingston County, Oakland County, Washtenaw County, Wayne County. MIPreferred Qualifications:Undergraduate Degree (or higher)Experience working in Managed CareKnowledge of Medicaid & Medicare populations in your local areaBilingualKnowledge of culture and values in the local communityFamiliarity with the resources available within the communityCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in healthcare here. We serve the healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV / AIDS and High - risk Pregnancy. Our holistic, outcomes - based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal healthcare and create positive change for those who need it most. This is the place to do your life’s best work.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.   UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.Keywords: UHG, Insurance, customer services, customer services representative, claims, appeals, call center, phone support, dispute resolution, healthcare, UnitedHealth Group, Livingston County, Oakland County, Washtenaw County, Wayne County, MI
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