Health Care Navigator

Government Employees Health Association, Inc. (G.E.H.A) is a nonprofit member association that provides health and dental benefits that millions of federal employees and retirees, military retirees and their families have counted on since 1937. Offering one of the largest health and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care.

 

G.E.H.A has one mission: To empower federal workers to be healthy and well.

Health Care Navigators engage in proactive outreach to build successful working relationships between members and healthcare professionals; helping to support, engage, and refer members to available programs, resources, and services to navigate the complex health care system. They work effectively with our healthcare professionals “Care Teams” to empower members and their families towards positive change and participation in their health.

SKILLS

Duties and Responsibilities

Engage Member:

• Conduct outreach to member population to introduce and engage members to participate with Population Health Management team programs.
• Receive inbound Care Team phone calls or emails and address or route appropriately.
• Assesses the readiness and level of participation of members to engage in care management services.

Refer to RN/program

• Collaborate with Care Team utilizing appropriate tools to prioritize workload and transfer member to RN if possible, or schedule appointment.
• Identify member needs and refer to appropriate internal and external programs. Redirect providers and members to network facilities when available.

Perform Supportive Tasks

• Confirm member eligibility, obtain general member information, verify demographics, and provide non-clinical information prior to the transfer of the member to the RN.
• Perform supportive tasks for members or care team such as setting appointments for members, sending letters, member education materials and provider lists.
• Assist members with contacting providers for appointments, community agencies, other care management professionals and appropriate GEHA resources.

Qualifications:

Education Requirements

• Requires two years (60 credit hours) of college.
• Additional years of qualifying work experience may be considered in lieu of formal education

Experience Requirements

• Ability to work as part of a multidisciplinary team
• Requires effective written and verbal communication skills
• 3 years’ experience in a clinical setting, human services, care management or healthcare call center

Must reside in the Kansas City Metro Area

Work-at-home requirements

• Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.

• A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.

• Latency (ping) response time lower than 80 ms

• Hotspots, satellite and wireless internet service is NOT allowed for this role.

• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

How we value you

• Competitive pay/salary ranges

• Incentive plan

• Health/Vision/Dental benefits effective day one

• 401(k) retirement plan:  company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution   

• Robust employee well-being program

• Paid Time Off

• Personal Community Enrichment Time

• Company-provided Basic Life and AD&D

• Company-provided Short-Term & Long-Term Disability

• Tuition Assistance Program

While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine.

Please note that the salary information is a general guideline only.  G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate’s work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer.

The target hiring range for this position is $42,853 - $54,212 USD. At G.E.H.A, the current maximum salary for this role is $60,407 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization.

G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees.

G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.