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Care Navigator, Transitions of Care
Elevance HealthCare Navigator ensuring appropriate member treatment plans are followed for CareBridge Health. Coordinating care, assessing compliance, and recommending service modifications while enhancing member health outcomes.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating follow-up care plans, assessing member compliance, and identifying barriers to treatment. Proficient in communication, problem-solving, and facilitating improvements in healthcare processes.
Highest-signal resume keywords
Care CoordinationMember Compliance AssessmentProcess ImprovementBilingual CommunicationCertified Nurse Assistant
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care Plan CoordinationTreatment Plan ModificationReport PreparationReferral CoordinationHealth Risk Coaching
Soft Skills
Interpersonal CommunicationProblem-SolvingFacilitationAnalytical Thinking
Certifications & Qualifications
Certified Nurse AssistantCertified Medical Assistant
Industry Keywords
HealthcarePatient CareQuality GoalsComplianceCase Management
About the role
Key responsibilities & impact- Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs
- Assesses member compliance with medical treatment plans via telephone or through on-site visits
- Identifies barriers to plan compliance and coordinates resolutions
- Identifies opportunities that impact quality goals and recommends process improvements
- Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider
- Coordinates identification of and referral to local, state or federally funded programs
- Coaches members on ways to reduce health risks
- Prepares reports to document case and compliance updates
- Establishes and maintains relationships with agencies identified in appropriate contract
Requirements
What you’ll need- Requires a H.S. diploma or equivalent and a minimum of 1 year related experience
- bilingual or multi-language skills may be required
- Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred
- strong oral, written and interpersonal communication skills
- problem-solving skills
- facilitation skills
- analytical skills
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs (unless covered by a collective bargaining agreement)
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources