Full-Time

Care Navigator

Posted on 12/16/2024

Blue Cross Blue Shield

Blue Cross Blue Shield

1,001-5,000 employees

Healthcare

Entry

Peoria, IL, USA

Requires 100% on-site work at the Peoria care center location.

Category
Healthcare Administration & Support
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Required Skills
Customer Service
Requirements
  • Excellent interpersonal skills to include maintaining courteous, friendly and effective communications with patients, team members and external parties
  • CPR Certification required
  • Interest in furthering education/certification
  • Electronic Medical Records experience
  • Customer service orientation and experience
  • Strong communication skills across multiple modalities
  • Highly collaborative
  • Empathy and advocacy
  • Exceptional organizing skills, detail-orientation
  • Must be able to maintain confidentiality at all times
  • Active AZ fingerprint clearance card
Responsibilities
  • Support members both in-person and virtually with real-time education, scheduling of specialist & diagnostic referral appointments, and follow-through + follow-up of those appointments
  • Play a critical role in the achievement of improved health outcomes and cost savings
  • Be an empathetic problem-solver and become the most visible partner to all patients
  • Clarify and explain referral for specialist and diagnostic service recommendations
  • Care for end to end process as needed, for referral or specialist services
  • Participate in development and management of quality programs to include patient outreach to members in an effort to provide an elevated primary care experience with gaps in care or other clinical needs
  • Support members with chronic conditions by providing education, reminders, and other support
  • Lead service and schedule requests on member’s behalf
  • Inform and equip Care Team with referral information and requirements
  • Assist in specialist relationship management
  • Perform all other duties as assigned
  • Working hours include morning, night, or weekend hours
  • This position requires 100% on-site work at the care center location and may also involve movement between clinics as needed
Blue Cross Blue Shield

Blue Cross Blue Shield

View

Company Stage

N/A

Total Funding

N/A

Headquarters

Chicago, Illinois

Founded

1910

Growth & Insights
Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
Simplify Jobs

Simplify's Take

What believers are saying

  • Partnership with Folx Health expands access to LGBT-affirming care.
  • Collaboration with American Spine Registry improves service offerings and competitive edge.
  • Recognition of MemorialCare Hospitals highlights commitment to quality care.

What critics are saying

  • Facing class action lawsuit over alleged anti-competitive practices.
  • Recent $2.8 billion antitrust settlement increases regulatory scrutiny.
  • Partnership with Folx Health may face backlash from conservative groups.

What makes Blue Cross Blue Shield unique

  • Blue Cross Blue Shield partners with Folx Health for LGBT-affirming care.
  • Collaboration with American Spine Registry enhances data-driven healthcare evaluations.
  • MemorialCare Hospitals recognized as Blue Distinction Centers for quality care.

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