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Outreach Care Navigator – Gap Closure and Wellness Outreach (ZR_17628_JOB)

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

Australia

Offer summary

Qualifications:

Healthcare certification or relevant experience, Telephonic outreach experience preferred, Strong English verbal and written skills, Ability to work remotely with reliable internet, Experience in health care call center beneficial.

Key responsabilities:

Conduct telephonic outreach for post-discharge care
Educate members on wellness visits and benefits
Use KBRAX for documenting interactions and follow-ups
Coordinate with clinical teams for record maintenance
Guide members on health plan benefits and support

BruntWork Human Resources, Staffing & Recruiting SME https://www.bruntworkcareers.co/

501 - 1000 Employees

See more BruntWork offers

Job description

This is a remote position.

Job Highlights:

Contract: Independent Contractor
Monday to Friday 9am - 6pm CST with 1 hour unpaid break (8 paid hours per day)

Department: Call Center Operations

Area of Focus: Post-Acute PCP Follow-Up and Preventive Care

Location: Philippines (Remote/Work-from-Home)

Reports to: Clinical Operations

As an Outreach Care Navigator focused on Gap Closure, Wellness, and Post-Acute Follow-Up, you will perform telephonic outreach to health plan members, helping close gaps in care, arrange wellness visits, and support post-discharge follow-up with primary care providers (PCPs) within 7 days. This role aims to improve health outcomes and reduce readmission risks through proactive engagement and effective communication.

Key Responsibilities

Conduct telephonic outreach to members post-discharge, focusing on gap closure, wellness visits, and PCP follow-up within 7 days.
Educate members on preventive and post-acute care, emphasizing the benefits of timely PCP follow-up to reduce readmission risks.
Use KBRAX software for documenting member interactions, tracking follow-ups, and updating care status.
Coordinate with clinical teams to maintain accurate member records and ensure proactive care support.
Guide members on health plan benefits, preventive screenings, wellness programs, and available support to encourage health engagement.
Maintain confidentiality and adhere to privacy policies, following regulatory compliance.
Meet performance and quality standards as set by the Call Center Manager and quality team.

Required Knowledge, Skills, and Abilities (KSAs)

Healthcare Knowledge: Familiarity with preventive care, wellness programs, post-acute care, and gap closure processes.
Communication Skills: Excellent telephonic communication, with the ability to engage members empathetically and promote health engagement.
Documentation Accuracy: Strong attention to detail in documenting outreach activities and follow-ups in KBRAX.
Problem-Solving Skills: Ability to address member concerns and connect them to appropriate healthcare resources.
Customer Service Orientation: Commitment to enhancing member satisfaction and improving health outcomes.
Technical Skills: Proficient in KBRAX software (preferred) and other call center tools.
Computer Literacy: Basic computer skills, including MS Office and Teams.

Qualifications

Relevant healthcare certification or experience in a healthcare call center, care coordination, or outreach role.
Experience with telephonic outreach, gap closure, and wellness scheduling preferred.
Strong English communication skills, both verbal and written.
Ability to work remotely with reliable internet and VOIP setup or in a call center setting, if required.

Independent Contractor Perks:

Permanent work from home
Immediate hiring
Steady freelance job

Please note that since this is a permanent work-from-home position and an “Independent Contractor” arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.

ZR_17628_JOB