Clinical - Care Navigator (Houston, TX, 77086) | 08/28/26 Job Description Below mentioned is the job description for your reference:

Position Title:

Clinical -

Care Navigator Location:

Remote, TX Duration:

6 Months contract with possibility of extension and conversion Working shift Monday-Friday 8am-5pm Story Behind the

Need:

Health Plan

Call Center

Would be working with MSC Department and assisting in taking calls for our

STAR+PLUS

member.

Team is to cover and answer calls that come in through call center.

This is to cover the SCs who are out in LOA, FMLA and the openings we have open.

Self-starters, eager to learn, great customer service

Each day, they will interact with different members, learning from them and assisting with their individual needs Typical Day in the

Role:

These positions work in a Call Center setting where the contractors are on a phone queue

Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.

Education/Certification:

HS Diploma Years of experience required: Over 5 years of experience working directly with the ABD (Aged, Blind, and Disabled) population in call center environments, Medicaid programs, and Managed Care Organizations (MCOs). Skilled in supporting individuals with disabilities and vulnerable populations managing chronic or complex health conditions. Demonstrated expertise in providing care coordination for children, young adults, and other high-need groups within the past three of the last five years.

Must haves:

good attendance, call center background; worked with MCO insurance Nice to haves: background in Service Coordination, and call center experience.

Disqualifiers:

no call center experience Additional qualities to look for:

Software Skills:

Will be using various software on the job:

Microsoft Office Suite, Avaya, Zoom, Skype Preferred:

BUT NOT Required:

BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech Top 3 must-have hard skills: Customer service, call center experience

Computer Knowledge

Insurance, MCO background.