22742 care navigator jobs found

Work Location - Remote, United States Work Hours: 8 am - 5 pm or 8:30 am - 5:30 pm Summary: The Medicare Population Health HRA Care Navigator is responsible for outreaching to Cigna Healthcare Medicare customers to screen health, lifestyle, care coordination needs and engage them in internal Population Health programs. Job related functions include telephonic customer outreach to complete health screenings, educating customers on available benefits, coordinating with internal teams to ensure timely hand-off to appropriate care teams, and maintaining documentation for regulatory review. The HRA Navigator must ensure all necessary information is collected, reviewed, and processed according to established policies. Potential activities that may occur during telephonic customer interaction will vary, but may include: Completing telephonic HRA's or processing incoming mailed or faxed HRA's Assisting with the scheduling of medical appointments Connecting customers to...

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. As an RN Case Manager you will be partnering with clinical teams to provide complex case management and strengthen the connection between the patient and the primary care physician/medical practice staff. The Registered Nurse (RN) Case Manager is responsible for assisting patients to achieve their highest-level wellness. You...

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. As an RN Case Manager you will be partnering with clinical teams to provide complex case management and strengthen the connection between the patient and the primary care physician/medical practice staff. The Registered Nurse (RN) Case Manager is responsible for assisting patients to achieve their highest-level wellness. You...

JOB DESCRIPTION Job Summary The Member Navigator primary function is to be the member's liaison. Primarily telephonic, this role is responsible for ensuring that the members member has assistance they may need in navigating their health care needs. Throughout the duration of services, the Member Navigator will communicate with members and caregivers to uncover and act on possible barriers to a healthy outcome, thereby safeguarding against unnecessary admissions, readmissions, urgent care, and emergency department visits. KNOWLEDGE/SKILLS/ABILITIES Strong working knowledge of medical terminology and healthcare landscape preferred Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager Work in an independent manner with minimum supervision Excellent problem solving, critical thinking, and organizational skills Must be organized and able to prioritize,...

JOB DESCRIPTION Job Summary The Member Navigator primary function is to be the member's liaison. Primarily telephonic, this role is responsible for ensuring that the members member has assistance they may need in navigating their health care needs. Throughout the duration of services, the Member Navigator will communicate with members and caregivers to uncover and act on possible barriers to a healthy outcome, thereby safeguarding against unnecessary admissions, readmissions, urgent care, and emergency department visits. KNOWLEDGE/SKILLS/ABILITIES Strong working knowledge of medical terminology and healthcare landscape preferred Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager Work in an independent manner with minimum supervision Excellent problem solving, critical thinking, and organizational skills Must be organized and able to prioritize,...

JOB DESCRIPTION Job Summary The Member Navigator primary function is to be the member's liaison. Primarily telephonic, this role is responsible for ensuring that the members member has assistance they may need in navigating their health care needs. Throughout the duration of services, the Member Navigator will communicate with members and caregivers to uncover and act on possible barriers to a healthy outcome, thereby safeguarding against unnecessary admissions, readmissions, urgent care, and emergency department visits. KNOWLEDGE/SKILLS/ABILITIES Strong working knowledge of medical terminology and healthcare landscape preferred Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager Work in an independent manner with minimum supervision Excellent problem solving, critical thinking, and organizational skills Must be organized and able to prioritize,...

JOB DESCRIPTION Job Summary The Member Navigator primary function is to be the member's liaison. Primarily telephonic, this role is responsible for ensuring that the members member has assistance they may need in navigating their health care needs. Throughout the duration of services, the Member Navigator will communicate with members and caregivers to uncover and act on possible barriers to a healthy outcome, thereby safeguarding against unnecessary admissions, readmissions, urgent care, and emergency department visits. KNOWLEDGE/SKILLS/ABILITIES Strong working knowledge of medical terminology and healthcare landscape preferred Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager Work in an independent manner with minimum supervision Excellent problem solving, critical thinking, and organizational skills Must be organized and able to prioritize,...

JOB DESCRIPTION Job Summary The Member Navigator primary function is to be the member's liaison. Primarily telephonic, this role is responsible for ensuring that the members member has assistance they may need in navigating their health care needs. Throughout the duration of services, the Member Navigator will communicate with members and caregivers to uncover and act on possible barriers to a healthy outcome, thereby safeguarding against unnecessary admissions, readmissions, urgent care, and emergency department visits. KNOWLEDGE/SKILLS/ABILITIES Strong working knowledge of medical terminology and healthcare landscape preferred Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager Work in an independent manner with minimum supervision Excellent problem solving, critical thinking, and organizational skills Must be organized and able to prioritize,...