Title: Care Navigator Behavioral Health Care Management
Contract Duration: 3 months - Contract to Hire
Schedule: Monday Friday, 8:00 AM 5:00 PM ET
Location: Remote within Georgia; candidates must reside within approximately 45 minutes of the Atlanta office at 1100 Circle 75 Parkway SE, Suite 1100, Atlanta, GA 30339. Occasional travel to the office may be required for meetings.
Pay Range: XXXXXXXXXXX - XXXXXXXXXXX Per hr. on w2.
Position Overview
The Care Navigator will support the Behavioral Health Care Management team by conducting member outreach, identifying healthcare and behavioral health needs, connecting members with appropriate resources, and facilitating enrollment into active Care Management services.
This role manages multiple outreach queues, including Inpatient, Behavioral Health (BH) , Referral, and Disease Management. The Care Navigator will manage a caseload of 90+ members while maintaining a high level of daily outreach, documentation, follow-up, and coordination.
Key Responsibilities
- Manage member outreach across Inpatient, Behavioral Health Referral, and Disease Management queues.
- Conduct initial and follow-up telephonic outreach to members identified through assigned task lists and referrals.
- Engage members in Care Management services and identify their healthcare, behavioral health, social, and resource needs.
- Educate members about available care management programs, healthcare services, providers, and community resources.
- When members agree to participate, coordinate assignment to an appropriate Care Manager.
- Manage and prioritize a caseload of 90+ members while ensuring timely follow-up.
- Complete an average of 20+ member outreach calls per day.
- Work toward a weekly goal of enrolling approximately 5 members into active Care Management services.
- Identify barriers to care and help connect members with appropriate healthcare and community resources.
- Maintain accurate and timely documentation of outreach, member needs, referrals, interventions, and follow-up activities.
- Navigate healthcare case-management/CRM systems and assigned task queues.
- Monitor member status and ensure appropriate handoffs and coordination of care.
- Recognize behavioral health concerns and appropriately escalate or coordinate services when needed.
- Maintain productivity, quality, documentation, and conversion expectations.
Required Qualifications
- Bachelor's degree in Social Work, Psychology, or a related field.
- At least 1 year of relevant professional experience.
- Experience with telephonic/member outreach, healthcare navigation, case management, behavioral health, or a related environment.
- Ability to manage a high-volume caseload and prioritize competing tasks.
- Strong verbal and written communication skills.
- Ability to engage members, establish rapport, identify needs, and connect individuals with appropriate services.
- Strong documentation, organization, and follow-up skills.
- Ability to work independently in a remote environment while meeting established productivity and quality expectations.
Preferred Qualifications
- Behavioral health experience.
- Crisis management or crisis intervention experience.
- Healthcare case management or care coordination experience.
- Experience working with health-plan members.
- Experience using healthcare CRM, case-management, or care-management platforms.
- Experience managing task queues and productivity/conversion metrics.
- Experience with inpatient referrals, disease management, or population health programs.
Ideal Candidate Profile
The ideal candidate has a background in social work, psychology, behavioral health, healthcare navigation, or care management and is comfortable conducting a high volume of telephonic member outreach. They should be able to manage a large caseload, quickly identify member needs, document interactions accurately, and coordinate appropriate services.
The role is particularly well suited to someone who combines behavioral health knowledge, strong communication skills, telephonic outreach experience, and healthcare case-management capabilities.
Work Environment
This is primarily a remote position within Georgia. The selected candidate must live within approximately 45 minutes of the Atlanta office and may occasionally be required to travel to the office for meetings.
No clinical license, driver's license, or DOD clearance is required.