- Performing Personal Health Assessments and providing education on the biometric results
- Closing member care gaps by accurately documenting test results in the clinical record
- Presenting health education classes and programs
- Performing prospective customer and member needs assessment in order to provide the most effective and efficient customer service.
- Collaborating with various teams to improve the Enterprise STARS rating through targeted member campaigns.
- Participating in outbound call campaigns to members for Enterprise Partners, including Commercial, U65, and Medicare teams.
- Facilitating benefit savings for members by proactively educating them on benefit plan impacts and choices.
- Facilitating problem solving and issue resolution; e.g. assists with access to care issues.
- Providing referrals to community resources such as elder care.
- Educating prospective customers and members on benefits structure and care setting alternatives.
- Educating prospective customers and members and helping them access and understand cost and quality comparisons.
- Providing appropriate referrals to other corporate programs such as, Healthy Addition, New Directions and Care Management.
- Coordinating care for members as appropriate using a personalized care plan.
- Host Customer Video Appointments.
- Educate members on digital platforms such as Blue for Me and MeQuilibrium
-
Blue Cross and Blue Shield Association Boynton Beach, United StatesRN- FL Blue Center Nurse Navigator- Bilingual(Palm Beach, FL) · Get to know us · Florida Blue, a GuideWell Company, has been providing insurance to residents of Florida for 75 years. Driven by its mission of helping people and communities achieve better health, the company serves ...
-
Blue Cross and Blue Shield Association Boynton Beach, FL, United StatesGet to know us · Florida Blue, a GuideWell Company, has been providing insurance to residents of Florida for 75 years. Driven by its mission of helping people and communities achieve better health, the company serves more than five million healthcare members across the state. · W ...
-
GuideWell Boynton Beach, FL, United StatesGet to know us · Florida Blue, a GuideWell Company, has been providing insurance to residents of Florida for 75 years. Driven by its mission of helping people and communities achieve better health, the company serves more than five million healthcare members across the state. · W ...
-
Good Greek Moving and Storage West Palm Beach, United StatesAre you looking for an innovative, exciting and rewarding opportunity to expand your career? · If so, LOOK no further **Good Greek Moving & Storage **is expanding its coveted team of professionals and immediately hiring for a Mascot Handler and Customer Service Ambassador. · Know ...
-
Nanny
2 days ago
Chace People Fort Lauderdale, United Statessector- Childcare & Education- emp type- Full-time- salary- Up to $40 per hour (negotiable DOE)- location- United States, Fort Lauderdale- Job Type- Permanent- place of work- On-site- published date- 16/05/2024- job id- 33031Antonia Catherine Edwards · Founder & MD · **job descri ...
-
Good Greek Moving and Storage Fort Lauderdale, United StatesAre you looking for an innovative, exciting and rewarding opportunity to expand your career? · If so, LOOK no further **Good Greek Moving & Storage **is expanding its coveted team of professionals and immediately hiring for a Mascot Handler and Customer Service Ambassador. · Know ...
-
Furniture Concierge
3 days ago
Baer's Furniture Co., Inc. Pompano Beach, United StatesOverview: · We are seeking a highly motivated and customer-oriented individual to join our team as a Concierge. As a Concierge, you will work out of the Corporate Office located in Pompano Beach. As conciergeyou are responsible for providing our customers with exceptional custome ...
-
Community Health Worker- Boynton Beach, FL
3 days ago
Conviva Care Center Boynton Beach, United StatesThe Role · This is a unique opportunity to directly connect with patients on the barriers most affecting their ability to engage in the care they need, and subsequently work to find solutions that positively impact their quality of life. We are looking for individuals who are: · ...
-
Community Health Worker- Boynton Beach, FL
15 hours ago
Conviva Care Center Boynton Beach, United StatesThe Role · This is a unique opportunity to directly connect with patients on the barriers most affecting their ability to engage in the care they need, and subsequently work to find solutions that positively impact their quality of life. We are looking for individuals who are: ...
-
Registered Nurse Medical Care Center
1 week ago
Blue Cross and Blue Shield Association Boynton Beach, FL, United States Part timeRN- FL Blue Center Nurse Navigator- Bilingual(Palm Beach, FL) · Florida Blue, a GuideWell Company, has been providing insurance to residents of Florida for 75 years. Driven by its mission of helping people and communities achieve better health, the company serves more than five m ...
-
Medical Office Receptionist
2 weeks ago
Abel Consulting & Executive Search, LLC Delray Beach, United StatesMEDICAL OFFICE RECEPTIONIST JOB IN DELRAY BEACH, FLORIDA · I have been retained by one of the top full-service Chiropractic and Regenerative Medicine offices in South Florida (Delray Beach) to locate an office receptionist with superior communication and organizational skills. T ...
-
Medical Front Desk Receptionist
2 days ago
Abel Consulting Delray Beach, United StatesMEDICAL OFFICE RECEPTIONIST JOB IN DELRAY BEACH, FLORIDA · I have been retained by one of the top full-service Chiropractic and Regenerative Medicine offices in South Florida (Delray Beach) to locate an office receptionist with superior communication and organizational skills. T ...
-
Medical Office Receptionist
3 days ago
Abel Consulting & Executive Search, LLC Delray Beach, United StatesMEDICAL OFFICE RECEPTIONIST JOB IN DELRAY BEACH, FLORIDA · I have been retained by one of the top full-service Chiropractic and Regenerative Medicine offices in South Florida (Delray Beach) to locate an office receptionist with superior communication and organizational skills. T ...
-
Medical Front Desk Receptionist
4 days ago
Abel Consulting Delray Beach, United StatesJob Description · Job DescriptionMEDICAL OFFICE RECEPTIONIST JOB IN DELRAY BEACH, FLORIDA · I have been retained by one of the top full-service Chiropractic and Regenerative Medicine offices in South Florida (Delray Beach) to locate an office receptionist with superior communicat ...
-
Baptist Health South Florida Boca Raton, FL , USA, United StatesThe Nurse Navigator acts as liaison between patients, physicians and the respective care team. The Nurse Navigator is responsible for the coordination of care across the continuum, education/provision of information and support for patients, facilitation of decision making, advoc ...
-
nurse navigator, neurology, ft, 8:30a-5p
6 days ago
Baptist Health South Florida Boca Raton, FL , USA, United StatesThe Nurse Navigator acts as liaison between patients, physicians and the respective care team. The Nurse Navigator is responsible for the coordination of care across the continuum, education/provision of information and support for patients, facilitation of decision making, advoc ...
-
Paralegal - Elder Law and Medicaid
2 weeks ago
The Siegel Law Group, P.A. Boca Raton, United StatesSummary · The Medicaid Specialist makes a meaningful difference in the lives of aged and disabled individuals by assisting them in accessing vital Medicaid benefits and services such as Institutional Care Program (ICP), Qualified Medicare Beneficiary (QMB), and Medicaid waiver be ...
-
Collections Specialist
1 week ago
FlexShopper, Inc. Boca Raton, United StatesWe're seeking experienced collections call center specialists with proficiency in predictive dialer setting environments. They must possess the ability to educate consumers on solutions to maximize collection payments while maintaining compliant and professional dialogue. · About ...
-
HR Contact Center Representative
1 week ago
HCM Unlocked Boca Raton, United StatesPosition Summary: HR Contact Center Representative · We are seeking a dynamic and results-oriented individual to join our team as an HR Contact Center Representative. This role requires a highly skilled customer service professional who can effectively manage multiple client ho ...
-
Medicaid Planning Assistant
1 day ago
The Siegel Law Group Boca Raton, United StatesJob Description · Job DescriptionThe Medicaid Planning Assistant makes a meaningful difference in the lives of aged and disabled individuals by assisting them in accessing vital Medicaid benefits and services such as the Institutional Care Program (ICP), Qualified Medicare Benefi ...
RN- FL Blue Center Nurse Navigator- Bilingual(Palm Beach, FL) - Boynton Beach, United States - Florida Blue
Description
Get to know usFlorida Blue, a GuideWell Company, has been providing insurance to residents of Florida for 75 years.
Driven by its mission of helping people and communities achieve better health, the company serves more than five million healthcare members across the state.
We are looking for exceptional people who will bring our mission to life and succeed by putting the member first.
Friendly and outgoing sales-centered individuals that are passionate about helping others achieve their healthcare goalsLet's talk benefits
When it comes to our benefits,we offer a total compensation package including competitive base pay,health insurance, 401(k), as well as work-life balance programs,flexible work arrangements, and opportunities for growth and development.
We design our offerings to take care of you-to help you be your best at work and in life.What you will do:
Love engaging with people to help them achieve better health? Come join the exciting, rapidly expanding Direct-to-Consumer team.
We make it our priority to utilize our skills and knowledge to help members make positive changes in their health and well-being.
While on this team you will proactively manage prospective customers and members' experience through the health care continuum and delivery system in a Florida Blue Center environment by assessing needs, educating on benefit plans, costs, choices, tools, and programs, and referring to Florida Blue programs and resources as appropriate.
Contacts and referrals can come from a variety of internal and external sources, including member self-service, Care Managers, the member contact center, third party vendors such as Health Dialog, wellness/health fairs and GuideWell Enterprise Channels.
Present health education classes and programs to members and non-members. Perform Personal Health Assessments on members and provide education on ways to achieve better health.Important to know:
*This role will be
On-site
at our
Palm Beach Florida Blue Center: 1501 North Congress Ave. Boynton Beach, FL 33426
Hours of Operation:
Monday - Friday 9:00 a.m. - 7:00 p.m. Saturday 9:00 a.m. - 4:00 p.m.
The essential functions listed represent the major duties of this role, additional duties may be assigned:
Provides personal, Care engagement and assistance with coordination of health care benefits and services to prospective customers and members in the Direct-to-Consumer Channel by:
Experience:
1+ years nursingexperience
Bilingual Spanish/English
Knowledge and understanding of benefit plans
Must be willing to work flexible hours to include evenings,
Knowledge of healthcare continuum
Experience with automated medical systems
Health Coaching
Licenses and/or Certifications:
RN - Registered Nurse - State Licensure And/Or Compact State Licensure Active Florida RN license Upon Hire
Certified Health Coach, CHC 180 Days
BCLS - Basic Life Support CPR Certification Upon Hire
Education:
Related nursing degree, 2 year Associate, 4 year BSN or Masters degree.
What We Prefer:
3 or more years' managed care, case management, disease managements, clinical nursing, home health care or related experience with hands-on patient interaction
Sales work experience
Knowledge of benefit plans Knowledge of provider contracting and reimbursement methodologies
Knowledge of member tools such as the Member Portal Knowledge of care management, disease management and similar care programs Knowledge of health and specialty products and ability to inform others of how to use benefits in conjunction with specific illnesses Knowledge of community resources
When you become part of the GuideWell family, you help bring our mission to life by helping people and communities achieve better health.
General Physical Demands:
Sedentary work:
Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.
We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities.
What We Offer:
As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities.
To support your wellbeing, comprehensive benefits are offered.
As an employee, you will have access to:
Medical, dental, vision, life, and global travel health insurance.
Income protection benefits:
life insurance, Short- and long-term disability programs.
Leave programs to support personal circumstances.
Retirement Savings Plan includes employer contribution and employer match.
Paid time off, volunteer time off, and 11 holidays
Additional voluntary benefits available; and
A comprehensive wellness programs
Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.
To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.
Typical Annualized Hiring Range:
$65,600-75,000
Annualized Salary Range:
$65,600 - $106,600
Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.
We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities .
#J-18808-Ljbffr
