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UPMC

UPMC is an Equal Opportunity Employer/Disability/Veteran.

Temporary Contact Center Navigator (RN)

Call Center RepresentativeCall Center RepresentativeFull TimeRemoteMid LevelTeam 10,001

Location

EST (UTC-5)

Posted

17 days ago

Salary

$28 - $35 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Temporary Contact Center Navigator (RN)

UPMC

Role Description UPMC Health Plan and Workpartners is hiring a temporary Contact Center Navigator. This role will work Monday - Friday (Mondays and Friday standard daylight hours EST, Tuesday - Thursday 12 pm - 9 pm EST) and may work remotely. This role will not be eligible to work overtime. The budgeted hourly range for this position is $27.89–$35.00. The KnovaSolutions Contact Center Navigator is responsible for care coordination, health education, and assessment for identified KnovaSolutions members through telephonic and other electronic collaboration with members. Responsibilities include: - Completes Annual Competencies including Ethics and Compliance, HIPAA, Safety, Fraud and Abuse, and Confidentiality/Privacy and Security Awareness. - Preserves confidentiality of the member. - Utilizes independent problem solving and demonstrates ability to propose and implement creative solutions to member problems. - Completes timely and accurate documentation of member contacts in the SMA health record. - Identifies health behaviors, risk factors, or other concerns that would potentially improve members' health if enrolled in the service. - Initiates outbound contact and responds to inbound contact with identified members to facilitate enrollment in KnovaSolutions. - Refers members to Company Benefits. - Provides clinical triage of members to KnovaSolutions Clinical Prevention Specialists. - Conducts initial health assessments using motivational interviewing techniques or other behavioral change skills. Qualifications - Bachelor's degree in behavioral, social work, nursing, public health, or a related field strongly preferred. - 2 years of experience in counseling, clinical assessment, care coordination, coaching, and/or care management strongly preferred. - Active RN licensure strongly preferred. - Bilingual in Spanish is a bonus. Requirements - Knowledge of or ability to learn a family-centered counseling approach that emphasizes nonjudgmental empathic interaction and collaborative development and implementation of behavior change plans. - Basic knowledge of workplace benefits, insurance reimbursement, and EOBs. - Detail-oriented individual with excellent organizational skills. - High level of oral communication skills. - Competently employ motivational strategies for encouraging individuals to explore motivation for change and enhance readiness. - Intermediate proficiency with MS Word and Outlook. - Ability to learn new computer-based documentation skills. - Excellent verbal and written communication and interpersonal skills required. Licensure, Certifications, and Clearances - Act 34

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