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SalaryABOUT YOU
You thrive in a fast-paced environment. You’re curious and have an eye for detail. You strive to exceed expectations, and succeed. You’re excited by the opportunity to join a fast-growing company with unlimited opportunities for growth & competitive benefits. Does this sound like you? If so, Boon-Chapman could be the place for you!
ABOUT US
Boon-Chapman is not your average Third Party Administrator. In addition to traditional TPA services, Boon-Chapman administers business process outsourcing for insurance entities, and other services through its sister companies. With nearly 55 years in business, Boon-Chapman combines the legacy of a family-owned-and-operated company, with the energy and potential of a fast-growing enterprise of companies. A few of our benefits include:
- Paid holidays & competitive PTO that increases with tenure
- Full benefits package including healthcare, dental, vision, paid STD & life
- Casual everyday dress
- Access to an on-staff Medical Director for employees and their family members
- Unlimited opportunities for growth – success is in your own hands
JOB RESPONSIBILITIES
As a Care Navigator, you will be expected to collaborate and communicate effectively to coordinate patient care, ensure continuity of care, and create an exceptional patient experience for surgical patients.
- Initiate communication with patients upon learning they may need surgery or are being scheduled for surgery.
- Guide patients through the health care system by assisting in meeting the patient’s surgical needs and promoting quality, cost effective outcomes.
- Utilize the nursing process by being able to coordinate and assure the delivery of service, assess physical as well as psychological factors involved in planning the patient’s care, evaluation of the benefits and calculate a cost benefit analysis.
- Facilitate communication with the health care team.
- Have strong skills in communication, empowerment, facilitation, collaboration, problem solving, as well as being an advocate to the client.
- Identify and evaluate members’ surgical needs via telephone communication, claims data, referrals or any methodology excluding face-to-face interaction.
- Interface with providers, families and alternative resources to identify and coordinate care.
- Document all care navigation activities and/or interventions for applicable members as they occur in the Care Management System.
- Act as a resource for internal and external customers.
- Assume accountability for coordination and management of the assigned surgical cases until time of closure
- Act as an advocate for the member in the healthcare delivery system.
- Maintains client and subscriber confidentiality at all times.
- Other duties as assigned.
WHAT WE'RE LOOKING FOR (NOBODY'S PERFECT BUT EXPERIENCE IS A PLUS)
- Registered LVN license in the State of Texas is required.
- Two-Three years surgical experience (required)
- Bilingual preferred
- Ability to work autonomously
- Organizational skills, self-motivated, work independently
- Experience with Microsoft Office and general computer software
- Demonstrate leadership skills.
- Ability to accurately compile data and perform detailed work.
- Ability to maintain regular attendance.
- Ability to maintain confidentiality of material and information.
- Ability to maintain professional appearance and demeanor.
- Ability to work as a member of a team.
- Have a strong working knowledge of current health care protocols with emphasis on surgical patients
- Must be able to properly interpret plan documents for utilization review, case management and health care elements
WORK ENVIRONMENT / PHYSICAL REQUIREMENTS:
- Prolonged periods sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice
