Patient Assessment and Navigation Professional- Remote
Posted 2025-03-15About the position
The Patient Assessment and Navigation Professional plays a crucial role in overseeing the enrollment, education, engagement, and activation duties for Humana's Primary Care Organization. This position is integral to the business strategy, as it involves understanding benefit offerings to ensure successful enrollment, identifying educational opportunities for members to maximize the use of available resources, and guiding patients on how to utilize these resources effectively. The individual in this role will leverage their knowledge of relevant concepts, standards, regulations, strategies, and operating standards to achieve success. They will be responsible for making decisions regarding their work approach and priorities, often guided by established precedents, documented procedures, regulations, and professional standards, with some degree of interpretation required. In this role, the Patient Assessment and Navigation Professional will collaborate with patients to identify their health challenges and any gaps in care. They will educate patients about the various benefit offerings, assist in scheduling initial appointments, and confirm contact information to ensure seamless communication. Following up with patients is also a key responsibility, as it ensures satisfaction and success with the benefits they have elected, ultimately contributing to patient retention. The position may also involve other duties as assigned, which may vary based on the needs of the organization and the patients served.
Responsibilities
? Collaborate with patients to identify health challenges and gaps in care.
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? Educate patients on benefit offerings, schedule first appointment visits, and confirm contact information.
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? Follow up with patients to ensure satisfaction and success with elected benefits resulting in patient retention.
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? Perform other duties as assigned.
Requirements
? Customer service experience with the ability to connect meaningfully with customers to build emotional engagement and advocacy.
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? Strong attention to detail, sound critical thinking, and follow-up skills.
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? Passion for contributing to an organization focused on continuously improving consumer experiences.
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? Proficiency in Microsoft Outlook, Word, and Excel.
Nice-to-haves
? Bachelor's degree in Business or a related field or comparable experience and background.
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? Prior experience in a Sales or Sales Support position.
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? Understanding of value-based primary care and/or Medicare Advantage.
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? Bilingual in English/Spanish with the ability to speak, read, and write in both languages without limitations or assistance.
Benefits
? Medical, dental, and vision benefits.
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? 401(k) retirement savings plan.
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? Paid time off, including company and personal holidays, volunteer time off, paid parental and caregiver leave.
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? Short-term and long-term disability insurance.
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? Life insurance and many other opportunities.
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