• Job Description

  Req#: 9746
  Overview
  
  
  Care Navigator
  
  Looking for a way to make a difference in people’s lives?
  
  
  As a Care Navigator, you will play a critical role in supporting our members to live the best, rest of their lives. This position acts as the primary point of contact for our members, their families, and our partner senior living facilities. You will be able to help members navigate through the ever-changing healthcare landscape and act as an advocate to ensure they receive the highest quality of care.
  Position is remote and requires visits to facilities on a regular basis. Duties may include, but are not limited to the following:
  Member Engagement:
  • Main point of contact for Members and families upon Plan enrollment
  • Preform welcome interview and Health Risk Assessment, routine follow up with members/families
  • Assist members with items including, but not limited to referral management, appointment scheduling, DME ordering, and accessing Plan benefits
  • Participate in Care Planning meetings as appropriate
  • Coordinate care between specialists, home health, therapy, Plan APP, PCP, etc.
  Facility Engagement:
  • Act as the point person for facilities, connecting them to Plan resources such as APP, sales, leadership
  • Liaison between facilities and the Plan to assist with customer service requests such as billing questions, authorization needs, or member transfers
  Clinical Support:
  • Medical records collection: obtain clinical records for current and new members from community sources (H&P’s, medication history, specialist notes, etc.)
  • Other record collection as required to support Utilization Management and APPs
  • Monitor for any transitions of care and notify the Plan APP and utilization management
  • Monitor for any changes in enrollment status and notify Plan APP
  AgeRight Advantage is a provider owned Medicare Advantage Plan that specializes in providing care and services to members residing in Senior Living Facilities. The Plan was created in 2017 and has grown to serve members across Oregon in 11 counties and over 50 facilities. Our unique model brings care and services directly to members when they need it most.
  
  
  Join an innovative team that is transforming health care delivery and improving health outcomes for seniors!
  
  Qualifications
  
  
  • At least 1 year experience working in health care, social services, or other direct patient engagement experience
  • Experience in senior living facilities is strongly preferred
  • Computer literate, able to use email, the internet and web searches as standard applications and databases.
  • Excellent communication skills, both verbal and written; able to supply reports as required.
  • Pleasant personality and team player
  
  EEO Statement
  
  
  “Be here. Be you.”
  For more than 30 years, AgeRight has been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We’ve continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
  
  We’re committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis, Consonus and AgeRight. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives.
  
  That means you being you – without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It’s the foundation of who we are and the evolution of our collective future.
  
  
  • At least 1 year experience working in health care, social services, or other direct patient engagement experience
  • Experience in senior living facilities is strongly preferred
  • Computer literate, able to use email, the internet and web searches as standard applications and databases.
  • Excellent communication skills, both verbal and written; able to supply reports as required.
  • Pleasant personality and team player

• About the company

  Marquis has a reputation for a caring, competent and energetic staff, quality care, a proven track record of compliance, and financial stability. Combined, these strengths create an exceptional elder care company, a positive work environment and a career you can feel great about. Career opportunities are available in post-acute rehab and assisted living management, operations, nursing, clinical, therapy, pharmacy, dietary, social services, activities, maintenance and housekeeping.

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