New Member Care Navigator II

Overview:

• This full-time position manages critical incident response and management referral requests from client HR departments.
• The role requires working second shift 12:00 pm to 9:00 pm PST, Monday through Friday.

Essential Duties and Responsibilities:

• Promptly answer, screen, and triage inbound calls, verify demographic information, and quote member benefits.
• Research and provide routine referrals, document activities, and make outbound enrollment calls.
• Respond to all CIR and MR requests, coordinate with providers, and inform client HR of details.

Essential Education and Experience:

• High school diploma required; Bachelor’s in Behavioral Health preferred.
• Experience in behavioral health environment, excellent customer service and problem-solving skills.
• Working knowledge of Microsoft applications, ability to learn new systems, bilingual preferred.

Working Environment:

• Work near office equipment, normal office conditions, verbal and written communication required.
• Reasonable accommodations available for disabilities.