Top 24 Navigator Jobs in Newberg, Or

Health Navigator I
Moda Health —Milwaukie, OR
- $21.30 - $23.96 an hour
- Full-time
- Microsoft Outlook
- Writing skills
- Research
- Paid holidays
- Health insurance
Quick Apply
Social Health Member Navigator
Moda Health —Portland, OR
- $54,668.32 - $68,340.67 a year
- Weekends as needed
- Hybrid work
- Word processing
- Medical office experience
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Housing Navigator
Clackamas Women's Services —Oregon City, OR
- $27.00 - $30.25 an hour
- Full-time
- Bilingual
- Mid-level
- Driver's License
- Travel reimbursement
- Mileage reimbursement
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Health Navigator
Dress for Success Oregon —Portland, OR
- $60,000 - $65,000 a year
- Email
- Bilingual
- Background check
- Office
- Health savings account
- Paid holidays
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6d
Community Health Worker (Navigator)
NEIGHBORHOOD HEALTH CENTER —Milwaukie, OR
- $25.02 - $32.54 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
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Benefit Navigator (Onsite, AHPL)
Adventist Health —Portland, OR
- $18.77 - $28.13 an hour
- Day shift
- High school
- Mid-level
- High school diploma or GED
Navigator RN
Providence —Portland, OR
- $50.14 - $77.83 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Paid parental leave
- Paid holidays
RN Navigator - Gynecologic Oncology
Providence —Portland, OR
- $50.14 - $77.83 an hour
- Day shift
- Nursing
- RN License
- BLS Certification
- Paid parental leave
- Paid holidays
Patient Navigator
Spring Fertility —Portland, OR
- $23 - $27 an hour
- Weekends as needed
- Mid-level
- Bachelor's degree
- In-person
- Commuter assistance
- Disability insurance
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9d
Resident Services Navigator
OUTSIDE IN —Portland, OR
- $24.17 - $26.68 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
- Commuter assistance
- Disability insurance
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4d
Digital Navigator (Hillsboro Public Library) - ACC Member
Lead For America —Hillsboro, OR
- Full-time
- Computer literacy
- High school diploma or GED
- Organizational skills
- Health insurance
Quick Apply
4d
Supportive Housing Navigator
HIV Alliance —Salem, OR
- $23.50 - $24.91 an hour
- Weekends as needed
- Current TB test
- Cooking
- Research
- 403(b) matching
- Health savings account
RN, Intake Navigator
Oregon Health & Science University —Portland, OR
- $55.24 - $92.02 an hour
- 8 hour shift
- Nursing
- RN License
- BLS Certification
- Health insurance
- Tuition reimbursement
Navigator RN - Shared Infusion
Providence —Portland, OR
- $50.14 - $77.83 an hour
- Day shift
- Nursing
- RN License
- Hospital
- Paid parental leave
- Paid holidays
4d
On-Call Patient Navigator
Central City Concern —Portland, OR
- $24.52 - $31.88 an hour
- Part-time
- Background check
- CPR Certification
- Current TB test
Quick Apply
RN, Urology Oncology Nurse Navigator
Oregon Health & Science University —Portland, OR
- $55.24 - $92.02 an hour
- Full-time
- Nursing
- Microsoft Outlook
- RN License
3d
Supervisor Navigator RN - Oncology Full-Time
Pro Med Healthcare Services —Portland, OR
- $60.35 - $95.27 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Paid parental leave
- Paid holidays
Quick Apply
Certified Occupational Therapy Assistant (COTA): Remote Care Navigator (Oregon)
Goodside —United States
- $20 - $40 an hour
- Part-time
- Computer literacy
- English
- Mid-level
- Flexible schedule
Quick Apply
2h

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Social Health Member Navigator
Moda Health —Portland, OR
Traditional Health Worker certification or intent to complete within 6 months of hire date. Remains current on all Oregon Health Authority guidance regarding…
$54,668.32 - $68,340.67 a year
Quick Apply
Community Health Coordinator | Women's and Children's Center
Hillsboro Medical Center —Hillsboro, OR
Maternal child and family programs at the county and state level. Screen patients for health-related social needs and identify unmet needs.
$27.06 - $38.14 an hour
9d

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Patient Navigator
HEART OF OHIO FAMILY HEALTH CENTERS —Columbus, OH
All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, nursing stations, pharmacy stock room,…
$20 an hour
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Fertility Patient Care Navigator
Pinnacle Fertility —Westerville, OH
Collaborate with healthcare providers, clinical staff, and administrative teams to ensure continuity of care. Educate patients on treatment protocols, self-care…
$22 - $26 an hour
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navigator jobs near newberg, or

Health Navigator I

Moda Health -
Milwaukie, OR

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Job Details

Full-time
$21.30 - $23.96 an hour

Benefits

Paid holidays
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching

Qualifications

Confidential information handling
Microsoft Outlook
Phone communication
Writing skills
High school diploma or GED
Desktop applications
Microsoft Teams
Typing
10 key typing
Client interaction via phone calls

Full Job Description

Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Job Summary:
Provides phone, email and chat-based customer service to members of certain Performance Guarantee (PG) and Moda 360 groups by analyzing caller’s needs and providing timely and accurate responses. Answers inquiries from policyholders, members, agents, providers, hospitals, pharmacists, dentists and others regarding a wide variety of issues and questions related to a member’s benefits and health program options. This position requires staff to be flexible with their work schedule to meet the client’s needs. This is FT WFH role.

Pay Range
$21.30- $23.96, DOE.
**Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position:

https://j.brt.mv/jb.do?reqGK=27758661&refresh=true

Benefits:

Medical, Dental, Vision, Pharmacy, Life, & Disability

401K- Matching

Employee Assistance Program

PTO and Company Paid Holidays

Requirements:

High school diploma or equivalent.

Ability to complete training as a Customer Service Representative with Moda Health.

Claim processing experience, prior customer service experience or other related experience such as medical/dental office or pharmacy preferred.

Practical knowledge of medical, dental and/or pharmacy terminology desired.

Knowledge of diagnosis and procedure coding helpful.

Excellent oral and written communication skills. Ability to interact professionally, patiently, and courteously with customers over the phone and in writing.

Excellent analytical, problem solving and decision-making skills.

10-key proficiency of 105 kpm net on a computer numeric keypad.

Type a minimum of 25 wpm net on computer keyboard.

Ability to work well under pressure in a complex and rapidly changing environment.

Ability to maintain excellent attendance and punctuality.

Maintain confidentiality and project a professional business presence.

Ability to work with multiple applications across multiple monitors at once and learn new applications as needed.

Experience using Microsoft Office products including Outlook, OneNote and Teams.

Experience with TriZetto Facets helpful.

Ability to learn independently and take initiative to constantly improve skills.

Though open to both internal and external candidates, internal candidates must be Fully Meeting performance expectations in their current position. Exceeding in Accuracy and Customer Service Skills is preferred.

Complete Effortless Experience training and certification after hire.

Primary Functions:

Applicants will handle either medical, dental or pharmacy inquiries or a combination of two of these, depending on existing skills and training. Opportunity for promotion to Health Navigator II upon learning all three lines of business.

Answer medical, dental and/or pharmacy claim, authorization and benefit questions from customers on specific groups. Provide solutions to problems, confirm eligibility and explain benefits and plan coverage.

Handle inquiries received via phone, email, voicemail and/or online chat.

Respond to members via phone, online chat, SMS and email.

Complete detailed research and follow-up as needed. May include use of multiple resources, contact with internal departments and multiple phone calls to providers, pharmacies and other carriers to resolve a situation completely.

Work with internal departments via email, phone or meetings to resolve member issues and ensure clear communication of the member’s needs.

Repeatedly analyze situations and communicate effectively in a fast-paced environment that includes working with frustrated or angry callers.

Use the Moda 360 Navigator Console to review recommended health actions and programs, recommend programs based on personalized member data and assist members in understanding and setting up programs or completing recommended health actions.

Use multiple resources simultaneously to research member issues. These could include Facets, Benefit Tracker, Content Manager, eviCore portal, Navitus, CoverMyMeds, Moda 360 Navigator Console and other internal and external websites depending on the line(s) of business.

Provide complete and accurate information in a professional manner both verbally and in writing.

Talk on the phone or respond via chat while simultaneously researching the caller’s questions and documenting the interaction.

Apply mathematical skills to determine correct benefit and claim information and manually calculate and update dental incentive levels when needed.

Exercise judgment, initiative, and discretion with confidential and sensitive subject matter.

Provide thorough resolution when at all possible for members by using critical thinking skills, extending yourself and reducing effort on the part of the caller. This could include reaching out to internal and external sources (including service providers) to assist in resolving the issue for the member and making multiple follow-up calls to the member until the issue is resolved.

Perform related duties:
- Review, update and become familiar with new and revised benefit information.
- Build and maintain proficiency in claim processing procedures to determine whether a claim was processed or adjusted correctly. Communicate reasoning to callers in language appropriate to the caller’s experience level.
- Request claim adjustments required due to processing or configuration errors or new information and determine which incorrect processing is the result of a configuration error versus a processing error. When a configuration error is encountered, communicate with leadership to have it corrected.
- Identify confusing or incomplete information in all internal and external resources, plan documents and member communications and make suggestions for improvements.
- Update and enter primary care physician selections based on plan benefits (medical only).
- Complete provider searches that may include calling several providers to locate providers who are in-network, available and meet the member’s care needs.
- Work with internal departments to help resolve member gaps in care when possible, including work with the Healthcare Services or Pharmacy teams on exceptions and authorizations for those trained in medical or pharmacy, respectively.
- Advocate on behalf of members when they encounter issues with obtaining covered care or medications from providers and/or pharmacies.
- Place overrides to allow pharmacies to dispense medication at the point of service when appropriate based on plan details and internal policies (pharmacy only).
- Address and explain complaints, appeals, and grievances.
- Provide customer service to walk-in members.
- Send emails or text messages to members to follow up on call details or provide forms, website links or other plan documents.
- Send faxes to providers to allow them to submit medication authorization requests (pharmacy only).
- Provide timely follow up and return calls when these are required.
- Answer calls within PG service level agreement.
- Complete continuing education on excellent customer service skills.
- Perform other related duties and projects as assigned by lead, supervisor or manager.

Contact with Others & Working Conditions:

Constant sitting and telephone use. Close PC monitor and keyboard work. Must be able to work with multiple applications open on multiple monitors and to type documentation and research while speaking with a caller. Constant interaction with others on the phone, in writing and in person. Video calls via MS Teams when required by supervisor or manager.
Inside the company with Medical Claims, Healthcare Services, Dental Claims, Dental Provider Relations, Marketing, Group Integration, Medical Provider Relations, Pharmacy Operations, Case Management and others based on the line of business and as needed to resolve the customer’s issue. Outside the company with members, providers, attorneys, policyholders, brokers, service providers, pharmacies and other insurance carriers.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations please direct your questions to Kristy Nehler & Danielle Baker via our [email protected] email.

Quick Apply

Refine Your Search

navigator jobs in newberg, or

Health Navigator I

Social Health Member Navigator

Housing Navigator

Health Navigator

Community Health Worker (Navigator)

Benefit Navigator (Onsite, AHPL)

Navigator RN

RN Navigator - Gynecologic Oncology

Patient Navigator

Resident Services Navigator

Digital Navigator (Hillsboro Public Library) - ACC Member

Supportive Housing Navigator

RN, Intake Navigator

Navigator RN - Shared Infusion

On-Call Patient Navigator

RN, Urology Oncology Nurse Navigator

Supervisor Navigator RN - Oncology Full-Time

Certified Occupational Therapy Assistant (COTA): Remote Care Navigator (Oregon)

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Please fill out an application on our company page, linked below, to be considered for this position:

Requirements:

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