The Care Navigator at Sunflower Health Plan is responsible for developing, assessing, and coordinating care management activities based on member needs to provide quality, cost-effective healthcare outcomes. This role involves creating personalized care plans, educating members and their families/caregivers on services and benefit options, and advocating for high-quality care through care coordination. The position is remote within the state of Kansas or KC Metro Area and requires a Bachelor’s degree with 2-4 years of related experience, or a Graduate from an Accredited School of Nursing if holding clinical licensure.

Care Navigator

The Care Manager at Meridian Illinois is responsible for developing, assessing, and facilitating complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families related to mental health and substance use disorder. The role involves telephonic, digital, home, and/or other site visits outreach to assess member needs and collaborate with resources to ensure access to needed care or services.

Care Manager

The Care Navigator at Coordinated Care is responsible for developing, assessing, and coordinating care management activities based on member needs to provide quality, cost-effective healthcare outcomes. This role involves developing personalized care plans, educating members and their families/caregivers, evaluating member needs, and coordinating care to ensure timely access to services. The position requires residing in WA State and having social services experience/crisis management/resourcing.

As a Patient Care Advocate at VXI Global Solutions, you will be on the front lines of healthcare, providing exceptional customer service to patients by responding to phone inquiries with care, detail, and empathy. This role involves understanding pharmacy benefits, tracking patient interactions, and ensuring patients receive the best advice and care. You will be part of a team dedicated to transforming healthcare by making it more affordable, personalized, and focused on the whole person's health outcomes.

CUSTOMER CARE REPRESENTATIVE - WORK FROM HOME

Patient Care Advocate

Cambia Health Solutions, Inc is seeking a Care Management Social Worker to join their Clinical Services team. This role involves providing clinical care management, including case management, disease management, and care coordination, to meet members' healthcare needs and promote quality and cost-effective outcomes. The position offers a work-from-home option within Oregon, Washington, Idaho, or Utah and is ideal for a Social Worker looking to transition out of bedside care into a role that utilizes clinical expertise in a fresh challenge.

Care Management Social Worker

As a Caregiver at Sevita Health, you will engage in rewarding work to help people grow, learn, and live well. You will develop meaningful relationships with the individuals you serve, experience ownership and trust from your leaders, and support participants with developmental goals like budgeting, exercise, and nutrition. This role involves assisting people with their personal hygiene and supporting individuals who can have behavioral challenges and other complex needs.

Caregiver

Software Guidance & Assistance, Inc. is seeking a Managed Care Analyst for a contract assignment with a healthcare client in Los Angeles, CA. This role involves troubleshooting, maintenance, and optimization of existing software applications, as well as designing, building, testing, and supporting new applications within a portfolio or service line. The analyst will work closely with business owners, vendors, and other team members to evaluate and recommend solutions to complex problems, ensuring in-depth knowledge of the software application and operational workflows.

Tapestry Managed Care Analyst

Managed Care Analyst

The Care Manager at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families related to mental health and substance use disorder. The role involves evaluating member needs, recommending and facilitating care plans, coordinating between members, families/caregivers, community resources, and care providers, and ensuring compliance with regulators.

The Insurance Care Advisor at Pearl Insurance, a division of One80 Intermediaries, is responsible for answering questions and resolving problems initiated by insureds and carriers via telephone, mail, and e-mail. This role involves researching and referring cases to resolve coverage, claims, cost, or billing issues, and may require the use of computerized systems to verify information. The position is remote and based in NY State.

Insurance Care Advisor - Personal Lines (Remote - NY State)

Insurance Care Advisor - Personal Lines

The Care Navigator at Centene Corporation is responsible for developing, assessing, and coordinating care management activities based on member needs to provide quality, cost-effective healthcare outcomes. This role involves creating personalized care plans, educating members and their families/caregivers on services and benefit options, and advocating for high-quality care through care coordination. The position is remote but requires the candidate to reside in Florida.

The Care Manager is responsible for the assessment, reassessment, care planning, and coordination of care and services for members with behavioral health conditions requiring intensive interventions and oversight. This includes developing individualized care plans, providing telephone triage, crisis intervention, and prior authorizations, and overseeing the work of assigned care support teams. The role involves working closely with primary care, community benefits, and other support opportunities to develop long-term care plans for members.

Care Manager (BH) - Health Plan - Remote

CareLinx is seeking a Care Advisor to support its Payer Operations line of business. The role involves guiding members through the caregiver search and hire process, ensuring satisfaction, and providing ongoing support. The Care Advisor acts as a liaison between members, families, and caregivers, maintaining relationships and offering support to ensure an exceptional experience. This position requires excellent communication skills, time management, and the ability to work in a remote environment.

Care Advisor (Payer)- Remote

Care Advisor

The Patient Services Advisor at Parallon, a part of HCA Healthcare, handles account inquiries via inbound and outbound calls from patients, guarantors, or other third parties. This role involves reviewing patient account information in multiple systems, taking appropriate actions to resolve inquiries and balances, documenting interactions, and securing payment on outstanding account balances. The position requires the ability to learn and work in multiple account systems/applications and offers a comprehensive benefits package.

Patient Services Advisor

The Advisor, Technical Advisor at The Coca-Cola Company is responsible for providing technical direction and resolution for fountain dispensers, vending, and coolers over the phone, field service technician support, parts order processing for customers, and general technical inquiries. This role aims to minimize customer downtime and reduce service costs by eliminating service calls through efficient technical support. The position involves troubleshooting equipment issues, diagnosing mechanical/electrical problems, maintaining documentation, and assisting in the development of technical documentation.

Advisor, Technical Advisor

As a Care Navigator at Tembo Health, you will act as the primary point of contact for caregivers, families, and seniors with dementia, providing support to enhance their quality of life and ensure safety in the home. This role involves education and support around dementia, caregiving, and access to community resources, as well as coordination of medical care and development of personalized care plans with the clinical team. The position requires a college degree preferably in social work or psychology, comfort with technology, and the ability to work in a multidisciplinary team environment.

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Care Advisor Jobs in Fort Collins, CO Hiring Now

Care Navigator

Care Manager

Care Navigator

CUSTOMER CARE REPRESENTATIVE - WORK FROM HOME

Care Management Social Worker

Caregiver

Tapestry Managed Care Analyst

Care Manager

Insurance Care Advisor - Personal Lines (Remote - NY State)

Care Navigator

Care Manager (BH) - Health Plan - Remote

Care Advisor (Payer)- Remote

Patient Services Advisor

Advisor, Technical Advisor

Care Navigator