Experienced Customer Care Navigator for Autism Services - Remote Opportunity in PA/NJ/DE

Introduction to blithequark At blithequark, we are driven by a passion for delivering exceptional healthcare services that enhance the well-being of individuals and communities. As a leader in the healthcare industry, we are committed to reimagining the future of health care and making a positive impact on the lives of those we serve. Our mission is built on a foundation of excellence, teamwork, and customer commitment, and we are seeking a talented and dedicated Customer Care Navigator to join our team. About the Role As a Customer Care Navigator for Autism Services at blithequark, you will play a vital role in providing support to families with children who are served by our Autism Case Management team. Your primary responsibility will be to serve as a single point of contact for these families, ensuring that they receive accurate and viable referrals for diagnostic, ABA, and other care services. You will also be responsible for outreach, screening for behavioral and medical care management needs, assessing for community resources, educating members about benefits and authorization processes, and coordinating with Autism care managers to ensure a positive member experience. Key Responsibilities Provide information to inbound members and providers regarding Autism, ABA, and other mental health and substance use disorder benefits, community resources, care management programs, and services Make outreach calls to member families to educate them about the Autism Case Management program, screen for care management or referrals, support program document collection, and coordinate with care managers on member and family care needs Collaborate with network providers to identify appropriate referrals for diagnostic, ABA, and specialty care Provide follow-up calls to support the authorization process and ensure that members receive the necessary care and services Coordinate with lead Autism care managers to address identified member and family care needs, including attending rounds and team meetings Promote quality service delivery and effective care transitions planning for optimal member health outcomes Coordinate with Network Operations staff to facilitate access to providers in the member's area Facilitate communications, including manual letters and faxes, to members and providers to support department needs Provide administrative support services to clinical staff and in support of coordinated care and positive care outcomes Qualifications and Requirements To be successful in this role, you will need to possess a Bachelor's degree in Social Work, Psychology, or a related healthcare field, as well as a minimum of three years of experience in a healthcare or managed care setting. You should have strong computer and keyboarding skills, including proficiency in MS Outlook, MS Word, MS Excel, Adobe Acrobat, and data processing. Excellent written and verbal communication, interpersonal, and organizational skills are also essential. Essential Qualifications Bachelor's degree in Social Work, Psychology, or a related healthcare field Three or more years of experience in a healthcare or managed care setting Strong computer and keyboarding skills Excellent written and verbal communication, interpersonal, and organizational skills Excellent assessment and engagement skills Basic understanding of diagnostic requirements Ability to make referrals for testing Basic understanding of medical comorbidities Familiarity with behavioral health/medical terminology Preferred Qualifications Bachelor's degree and five or more years of experience in a healthcare or managed care setting Experience working with members with autism or other developmental disabilities and their families Bilingual (English and Spanish) Skills and Competencies To excel in this role, you will need to possess a range of skills and competencies, including: Self-motivation and the ability to assume a collaborative role in ensuring that all objectives are met Ability to work independently to meet team objectives and goals Professional demeanor in response to all situations, regardless of the nature or circumstances Able to manage multiple tasks in a fast-paced, changing environment Ability to work within a collaborative, team-oriented environment Career Growth and Learning Opportunities At blithequark, we are committed to supporting the growth and development of our employees. As a Customer Care Navigator, you will have access to a range of training and development opportunities, including: Comprehensive onboarding program Ongoing training and education on Autism, ABA, and other mental health and substance use disorder benefits Opportunities for professional development and career advancement Collaborative and supportive work environment Work Environment and Company Culture At blithequark, we pride ourselves on our positive and inclusive company culture. As a fully remote employee, you will be part of a dynamic and distributed team that is passionate about delivering exceptional healthcare services. You will have the opportunity to work with a talented and dedicated team of professionals who are committed to making a difference in the lives of our members. Compensation, Perks, and Benefits As a Customer Care Navigator at blithequark, you will be eligible for a range of compensation, perks, and benefits, including: Competitive salary and benefits package Opportunities for professional development and career advancement Collaborative and supportive work environment Flexible and remote work arrangements Access to a range of training and development opportunities Conclusion If you are a motivated and compassionate individual who is passionate about delivering exceptional healthcare services, we encourage you to apply for this exciting opportunity. As a Customer Care Navigator at blithequark, you will have the chance to make a real difference in the lives of our members and their families. Don't miss out on this opportunity to join a dynamic and dedicated team of professionals who are committed to reimagining the future of healthcare. Apply today and take the first step towards a rewarding and challenging career at blithequark.