Experienced Customer Care Navigator for ABA Services - Remote Opportunity in the Tri-State Area

Are you a driven and compassionate individual with a passion for delivering exceptional customer care? Do you thrive in a fast-paced, dynamic environment where no two days are ever the same? If so, we invite you to join blithequark's team as a Customer Care Navigator for ABA services. As a key member of our team, you will play a vital role in providing support to families with children served by our Autism Case Management team, ensuring accurate and viable referrals for diagnostic, ABA, and other care.

About blithequark

At blithequark, we are committed to renewing and reimagining the future of healthcare. Our mission is to enhance the health and well-being of the people and communities we serve. We believe that every individual deserves access to high-quality, compassionate care, and we are dedicated to making that a reality. As a Customer Care Navigator, you will be part of a team that is passionate about making a difference in the lives of our members and their families.

Job Summary

As a Customer Care Navigator, you will serve as a single point of contact for families, providing accurate and timely information regarding Autism, ABA, and other mental health and substance use disorder benefits, community resources, care management programs, and services. You will also be responsible for making outreach calls to member families, collaborating with network providers, and coordinating with lead Autism care managers to address identified member and family care needs.

Key Responsibilities

* Provide information to inbound members and providers callers 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 around the Autism Case management program, screen for any care management or referrals, support program document collection, and coordinate with the 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 appropriate information needed for authorization process
• 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
• Promote quality service delivery and reducing the burden member families face in dealing with a long-term disability
• Provide administrative support services to clinical staff and in support of coordinated care and positive care outcomes, such as building cases in system to begin Utilization Management process

Qualifications

* Bachelor's degree in Social Work, Psychology, or related healthcare field and three (3) or more years of experience in a healthcare or managed care setting

• Strong computer and keyboarding skills, including MS Outlook, MS Word, MS Excel, Adobe Acrobat, and data processing, with the ability to document while simultaneously taking information over the phone
• 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 (5) 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)

Key Attributes

* Self-motivated and the ability to assume a collaborative role in ensuring that all objectives are met

• Ability to work independently to meet team objectives/goals
• Professional demeanor in response to all situations, regardless of the nature or circumstances of the situation
• Able to manage multiple tasks in a fast-paced, changing environment
• Ability to work within a collaborative, team-oriented environment

Work Environment

This role is designated as fully remote, and the incumbent will not be required to report to one of blithequark's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

Benefits and Perks

* Competitive salary and benefits package

• Opportunity to work with a dynamic and compassionate team
• Professional growth and development opportunities
• Flexible work arrangements, including remote work options
• Access to cutting-edge technology and tools
• Recognition and rewards for outstanding performance

How to Apply

If you are a motivated and compassionate individual with a passion for delivering exceptional customer care, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We look forward to hearing from you!

Equal Opportunity Employer

blithequark is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Technical Requirements

* Must have an Android or iOS device that is compatible with the free Microsoft Authenticator app.

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