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Position Title: Care Navigator
Work Location: Remote, GA, Eastern Time Zone
It is a remote position but sometimes travel to the office is necessary for meetings: 1100 Circle 75 Parkway SE, Ste 1100, Atlanta, GA 30339.
Must reside near this location (no more than 45 minutes). We are hoping this is an acceptable commute.
Assignment Duration: 3 Months Potential to extend or convert
Work Schedule: M-F 8-5
Work Arrangement: Remote (occasional onsite meetings required; must reside within 45 minutes of Atlanta office) Position Summary:
BH Care Management Team Backfill for FTE Care Navigator. Works inpatient and referral queue, outreaches members to offer CM and identify needs, providers resources. Manages a caseload of 90+ members consistently. Key Responsibilities:
- Manage member outreach across three queues: Inpatient, Behavioral Health (BH) Referral, and Disease Management.
- Conduct initial and follow-up outreach to members identified through assigned task lists and queue referrals.
- Engage members in care management services and, when members agree to participate, coordinate assignment to an appropriate Care Manager.
- Manage a caseload of 90+ members while completing an average of 20+ member outreach calls per day.
- Consistently achieve a weekly conversion goal of 5 members enrolled into active Care Management services.
- Monitor member needs, document outreach activities, and ensure timely follow-up and coordination of care.
Qualification & Experience:
| Candidate Requirements |
| Education/Certification |
Required: Bachelors Degree in Social Work, Psychology or related field |
Preferred: |
| Licensure |
Required: None |
Preferred: |
Years of experience required: 1 year
Disqualifiers:
Additional qualities to look for: Telephonic outreach experience, Crisis management experience, BH related experience |
- Top 3 must-have hard skills stack-ranked by importance
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1 |
Ability to manage a 90+ member caseload, identify member needs, coordinate services, and transition members into active care management. |
| 2 |
Experience conducting high-volume outreach, working BH members and conditions, and engaging members in appropriate healthcare services. |
| 3 |
Proficiency with healthcare case-management/CRM systems, maintaining task queues, documenting outreach, tracking member status, and managing daily productivity/conversion metrics. |
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