CARE MGMT NAVIGATOR - Mohawk Valley Health Systems : Job Details

The Care Managment Navigator provides support to the Care Managers and other staff in the resolution of member related issues. Communicates with members and their families regarding information about Managed Long Term Care (MLTC) services. Provides summary reports, analysis and support for care coordination related activities. Participates in non-clinical customer service for members enrolled in the VNS Health Plans MLTC plan in collaboration with Care Coordination department and other healthcare professionals. Works under the general supervision of the Manager of Ancillary Services. Core Job Responsibilities Educates potential members/community representatives on plan features, plan benefits, and program admission requirements. Coordinates telephonic intake and responses to both clinical and non-clinical customer service issues. Identifies nature of issue, independently responds to and resolves non-clinical issues and complaints, and escalates clinical issues to appropriate department...Navigator, Customer Service, Healthcare, Care Manager, Clinical