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Clinical - Care Navigator - J01009
Axelon Services CorporationTX, US7 days ago
Job type
- Full-time
Job descriptionCall Center Experience : Prior experience in a call center environment is essential. Experience with Children / Youth : Must have worked with children or youth for at least 3 of the past 5 years. Strong Documentation Skills : Ability to document calls using complete sentences, proper punctuation, and correct grammar. Excellent Listening Skills : Attentive and responsive listening is a key part of this role. Call Handling Focus : The primary responsibility is managing incoming calls. Candidates must be comfortable wearing a headset for the entire shift and have a quiet, dedicated workspace. Medicare / Medicaid Knowledge : Familiarity with Medicare and Medicaid programs is preferred. Work Schedule : Must be available to work a consistent shift from Mon - Fri 9 : 30 AM to 6 : 00 PM. We’re looking for individuals who are detail-oriented, compassionate, and committed to providing high-quality support. Inbound Member / Provider Call Center (will take calls all day in a remote call center, OT will be based on business needs.) STAR Kids Service Coordination hotline - taking calls all day. To answer calls to help members with LTSS Service Coordination, to help providers only with LTSS specific authorization inquiries. Inbound call center, assist and educate individuals / legally authorized representatives in the STAR Kids Medicaid program on LTSS benefits and services such as MDCP, PCS, DAHS, Respite, (LTSS list not all inclusive) and DME requests. Self-starters and self-sufficient following work processes and supporting guides, eager to learn and retain information, great customer service with patience and able to educate callers, able to use Excel, OneNote, Teams, and able to respond quickly via Teams to peers and leaders. 4 years; Call Center Experience : Prior experience in a call center environment is essential. Must haves : good attendance, call center background; worked with MCO or Medicaid insurance. Excellent Listening Skills : Attentive and responsive listening is a key part of this role. Experience with Children / Youth : Must have worked with children or youth for at least 3 of the past 5 years. (This is contractual – if a candidate does not have at least 3 years of experience working with children or youth, an offer will not be extended.) Call Handling Focus : The primary responsibility is managing incoming calls. Candidates must be comfortable wearing a headset for the entire shift and have a quiet, dedicated workspace with reliable WIFI (Equipment will be distributed) Work Schedule : Must be available to work a consistent shift from 9 : 30 AM to 6 : 00 PM. Critical Thinking Skills : Ability to assess caller needs quickly, make sound decisions to assist members and providers, escalate issues appropriately, adapt to unexpected situations. No call center experience or high volume call experience Will be using various software on the job : Microsoft Office Suite, Avaya, Zoom, Skype Education / Certification : High School Diploma Preferred BUT NOT Required : BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech Licensure : n / a
Job Title : Clinical - Care Navigator
Location : Remote, for Texas ONLY, (the worker must reside in the state of Texas for this role)
Duration : 6 months, with potential to extend (This role is covering for employees out on LOA)
Shift :
- Training schedule is between the hours of 8 : 00 A.M. – 5 P.M.
- Shift time : 9 : 30 A.M. - 6 : 00 P.M. CST with a morning 15-minute break, 30-minute lunch, and an afternoon 15-minute break. (This is the closing shift and currently the only option available.)
- OT potential, for this shift would be before shift, based on business needs and not guaranteed.
We are currently seeking qualified candidates who meet the following criteria :
Typical day in the Role :
Must Haves :
Disqualifiers :
Software Skills :
Candidate Requirements :
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Care Navigator • TX, US
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