COVID-19 Vaccination Information

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UPMC continues to comply with governmental guidance related to local, state, and federal COVID-19 vaccination for employment. All employees and affiliated staff of UPMC entities are considered essential health care workers and will be accountable to follow the Centers for Medicare & Medicaid Services (CMS) federal vaccine mandate. To be compliant with the federal mandate, employees must complete the approved vaccination dosage regimen currently defined by the federal government. Compliance with the federal mandate is encouraged before hire. Medical and religious exemption requests may be submitted for consideration.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Contact Center Navigator (Remote)- Nurse Preferred

  • Job ID: 613951453
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: WorkPartners HCMS Group
  • Department: Clinical
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $24.78 to $42.84 / hour

Description

UPMC Workpartners HCMS group is seeking a REMOTE Contact Center Navigator!

The KnovaSolutions Contact Center Navigator is responsible for care coordination, health education and assessment for identified KnovaSolutions members through telephonic and other electronic collaboration with members. Collaborates with and facilitates coordination with KnovaSolutions nursing and pharmacy staff, other departments, providers, community resources and caregivers to provide additional support. Members will be followed by telephone or other electronic communication methods. The Contact Center Navigator is the first clinical contact for members identified as KnovaSolutions referrals.

Responsibilities:

 

  • Completes Annual Competencies including Ethics and Compliance, HIPAA, Safety, Fraud and Abuse and Confidentiality/Privacy and Security Awareness. Preserves confidentiality of the member.
  • Utilizes independent problem solving and demonstrates ability to propose and implement creative solutions to member problems in order to achieve a high level of member satisfaction with KnovaSolutions.
  • Completes timely and accurate documentation of member contacts in the SMA health record.
  • Identifies health behaviors, risk factors or other concerns that would potentially improve members health if enrolled in the service.
  • Initiates outbound contact and responds to inbound contact with identified members to facilitate enrollment in KnovaSolutions.
  • Refers members to Company Benefits.
  • The Contact Center Navigator provides clinical triage of members to KnovaSolutions Clinical Prevention Specialists. Conducts initial health assessments using motivational interviewing techniques or other behavioral change skills.

 

Qualifications

  • Bachelor's degree in behavioral, social work, nursing, public health or a related field required & 2 years of experience in counseling, clinical assessment, care coordination, coaching, and/or care management required;
  • OR high school diploma and 4 years of experience in counseling, clinical assessment, care coordination, coaching, and/or care management.
  • Knowledge of or ability to learn a family-centered counseling approach that emphasizes nonjudgmental empathic interaction and collaborative development and implementation of behavior change plans.
  • Basic knowledge of workplace benefits, insurance reimbursement and EOBs.
  • Detail-oriented individual with excellent organizational skills.
  • High level of oral communication skills.
  • Competently employ motivational strategies for encouraging individuals to explore motivation for change and enhance readiness.
  • Intermediate proficiency with MS Word and Outlook.
  • Ability to learn new computer-based documentation skills.
  • Excellent verbal and written communication and interpersonal skills are required.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct