Commercial Health Navigator Chattanooga, TN/en-US/External/job/Chattanooga-TN/Commercial-Health-Navigator_R-17334/applyThis position supports the Commercial Population and is accountable to provide member education and outreach which includes, but is not limited to, general physical and/or behavioral health education on key objectives (childhood, adolescent and adult development skills and needs) as well as chronic disease prevention and education on specific HEDIS measures. Job Description: Job Duties & Responsibilities * Conduct outbound educational telephone calls regarding available benefits, services and programs as well as complete health needs assessments and refer members to Population Health Programs as needed, * Encourage and motivate members to become compliant by scheduling appointments and coordinating the needed appointments with provider offices * Be familiar with provider locations and specialties to ensure access to services * Coordinate transportation to and from appointments when necessary * Treat customers in a courteous, friendly tone and professional manner * Listen intently to customers needs and concerns * Be knowledgeable of member materials (written, website, and Facebook) and order materials when necessary * Be knowledgeable of HEDIS measures, claims billing guidelines and health plan standards * Utilize member engagement techniques and offer incentives as applicable * Utilize systems such as Facets, CareCommunications Management Systems (CCMS) and Care Advance (CA) * Manage CCMS call que daily to ensure timely completion of tasks due to the specificity of timeframes for certain call types (for example: prenatal, postpartum, immunizations, appointment reminders and follow-ups) * Educate members on available community resources as necessary * Be aware of physical and behavioral trauma triggers and act to engage appropriate staff * Assist with inbound customer service lines and/or work overtime as needed Job Qualifications Education * Associates Degree in, education, communication, or health related field or equivalent work experience; Bachelors Degree in health related field preferred. Experience * 2 years customer service experience required * Outreach experience in the health insurance industry preferred * Experience working with medical terminology Skills/Certifications * Must be able to work in an independent and creative manner. * Self-motivated and able to manage multiple tasks and set priorities. * Ability to work independently and as part of a team. * Exceptional Microsoft Office skills desired. * Effective oral communication and interpersonal skills. * Good organizational and time management skills. * Sound decision-making and problem solving skills. Position Specific Requirements Commercial BH Job Qualifications * Minimum 1 year experience in a medical and/or healthcare environment or customer service role required. * Experience in behavioral health settings that include inpatient, partial, and/or outpatient care preferred * Must be knowledgeable about community care resources and levels of mental health care available * Managed care experience preferred Job Specific Requirements: Number of Openings Available: 1 Worker Type: Employee Worker Sub-Type: Regular Company: BCBST BlueCross BlueShield of Tennessee, Inc. BCBST is an Equal Opportunity employer (EEO), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or membership in a historically under-represented group. BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means. Tobacco-Free Hiring Statement To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test. An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results. Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW. Posted TodayFull timeR-17334 About Us As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years. More than that, we're your neighbors and friends fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow.