Care Navigator Job at Blue Cross Blue Shield of Arizona (Scottsdale)

Care Navigator - Peoria Clinic - Onsite

Location

United States , Peoria

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

Excellent interpersonal skills to include maintaining courteous, friendly and effective communications with patients, team members and external parties
A Basic Life Saving (BLS) certification
High school diploma or GED
Interest in furthering education/certification
Electronic Medical Records experience
Customer service orientation and experience
Strong communication skills across multiple modalities
Highly collaborative
Empathy and advocacy
Exceptional organizing skills, detail-orientation

Job Responsibility

Support members both in-person and virtually with real-time education, scheduling of specialist & diagnostic referral appointments, and follow-through + follow-up of those appointments
Play a critical role in the achievement of improved health outcomes and cost savings
Be an empathetic problem-solver and become the most visible partner to all patients
Clarify and explain referral for specialist and diagnostic service recommendations
Care for end to end process as needed, for referral or specialist services
Participate in development and management of quality programs to include patient outreach to members in an effort to provide an elevated primary care experience with gaps in care or other clinical needs
Support members with chronic conditions by providing education, reminders, and other support
Lead service and schedule requests on member’s behalf
Inform and equip Care Team with referral information and requirements
Assist in specialist relationship management

Fulltime

Behavioral Health Care Navigator

Bamboo Health is building a team of compassionate clinicians who are committed t...

Location

United States

Salary:

Not provided

Bamboo Health

Expiration Date

Until further notice

Requirements

2+ years of experience working as a Community Health Worker, Social Worker, or other patient-facing customer service healthcare setting
active certification as a Community Health Worker or similar certification or licensed social work highly preferred
1-2 years of patient outreach and engagement experience or similar background initiating patient relationships built on trust
2+ years of experience working in a metric/quota-driven environment and/or with high-volume targets
results driven with a proven track record of exceeding performance indicators
access to a quiet, HIPAA compliant and internet connected space to perform clinical duties
demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, mental health conditions or substance use disorders
experience working in fast-paced, rapidly changing work environments
ability to thrive in a dynamic, fast-paced, and ever-changing startup environment, demonstrating the ability to navigate ambiguity and embrace challenges with resilience and flexibility

Job Responsibility

Primarily work in a virtual setting to support individuals with mental health conditions and substance use disorders, diagnosed and undiagnosed, and unmet needs with respect to social services
perform initial and ongoing virtual outreach using an omnichannel approach to a qualified population with the goal of engaging identified individuals to understand the needs and barriers to care
utilize motivational interviewing techniques to understand the individual’s care goals
screen for unmet behavioral health, social service and physical health conditions and needs
identify clinical needs and triage escalations, providing brief interventions, as necessary
identify and address barriers to definitive behavioral health care
identify the appropriate level of evidence-based care for the individual, as applicable
support navigation of that individual to appropriate care, including behavioral health and/or primary care, as applicable
support post-care follow-up

Clinical Care Navigator, After Hours

Clinical Care Navigator, After Hours role at Spring Health, a company on a missi...

Location

United States

Salary:

33.33 - 42.31 USD / Hour

Spring Health

Expiration Date

Until further notice

Requirements

LCSW, LMFT, LPC, or licensed psychologist
Minimum of 2+ years of direct clinical care experience
Expertise in crisis assessment and safety planning
Knowledge of crisis support, CBT, motivational Interviewing, mindfulness, and solution-focused clinical interventions
Fully engaged and free from interruptions for the duration of shift
Excellent listening, written and verbal communication skills
Approach all interactions with cultural awareness, empathy, and respect for individual identities
Motivated to go above and beyond for members to provide a high-touch experience
Tech-savvy: must be comfortable using various computer platforms and learning new systems, and efficient in tech-related tasks
Able to multi-task and context switch

Job Responsibility

Provide in-the-moment clinical support, psycho education, and connection to appropriate referrals and resources on a clinical phone queue
Utilize skills such as active listening, motivational interviewing, and solution-focused approaches to collaboratively engage with members seeking help with mental health, substance use, or family/relationship concerns
Assess for risks and provide crisis support, safety planning, and follow up with high risk members to ensure safety and timely connection to care
Recommend a plan of action based on clinical presentation and coordinate connection to appropriate care and services (Spring Health therapists, coaches, physicians, or external resources)
Provide after hours support to members and leaders seeking services or connection to the Global team, Management Consultation team, and Spring Internal team
Use effective written skills to complete professional documentation and to interact with members and providers through email
Follow care management outreach protocols and utilize good clinical judgment to identify and problem-solve barriers or disruptions to care
Promote effective care by coordinating closely with Spring Health care providers and the Provider Operations team
Interact and problem-solve with multi-disciplinary teams such as Care Support, Benefits/Billing, and Product to ensure a smooth member experience
Participate in staff meetings, case consultations, and trainings

What we offer

Health, Dental, Vision benefits start on your first day
Access to One Medical accounts
HSA and FSA plans available, with Spring contributing up to $1K for HSAs
Employer sponsored 401(k) match of up to 2%
A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
Competitive paid time off policies including vacation, sick leave and company holidays
At 6 months tenure, parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents
Access to Noom, a weight management program
Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses
Access to Wellhub for fitness, mindfulness, nutrition, and sleep

Fulltime

Clinical Care Navigator - After Hours

Our mission: to eliminate every barrier to mental health. At Spring Health, we’r...

Location

United States

Salary:

33.33 - 42.31 USD / Hour

Spring Health

Expiration Date

Until further notice

Requirements

LCSW, LMFT, LPC, or licensed psychologist
Minimum of 2+ years of direct clinical care experience
Crisis assessment and safety planning experience required
Knowledge of crisis support, CBT, motivational Interviewing, mindfulness, and solution-focused clinical interventions
Excellent listening, written and verbal communication skills
Acknowledge and embrace diversity and inclusion
Motivated to go above and beyond for members to provide a high-touch experience
Tech-savvy: must be comfortable using various computer platforms and learning new systems, and efficient in tech-related tasks
Able to multi-task and context switch

Job Responsibility

Provide in-the-moment clinical support, psycho education, and connection to appropriate referrals and resources while answering calls on a clinical phone queue
Utilize skills such as active listening, motivational interviewing, and solution-focused approaches to collaboratively engage with members seeking help with mental health, substance use, or family/relationship concerns
Assess for risks and provide crisis support, safety planning, and follow up with high risk members to ensure safety and timely connection to care
Recommend a plan of action based on clinical presentation and coordinate connection to appropriate care and services (Spring Health therapists, coaches, physicians, or external resources)
Use effective written skills to complete professional documentation and to interact with members and providers through email
Follow care management outreach protocols and utilize good clinical judgment to identify and problem-solve barriers or disruptions to care
Promote effective care by coordinating closely with Spring Health care providers and the Provider Operations team
Interact and problem-solve with multi-disciplinary teams such as Care Support, Benefits/Billing, and Product to ensure a smooth member experience
Participate in staff meetings, case consultations, and trainings
Assist with onboarding and mentoring new team members

What we offer

stock options and benefits

Fulltime

Senior Care Navigator

You are the trusted first point of contact for our members. Through every intera...

Location

United States

Salary:

55000.00 - 65000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

3+ years of experience in high-touch, patient-facing environments
Proficient in Zendesk (or similar ticketing tools) and Athena (or comparable EHR systems)
Exceptional written and verbal communication skills, with the ability to translate complex healthcare information into clear, empathetic guidance
Proven judgment in handling sensitive issues, escalations, and time-sensitive care needs
Organized, detail-oriented, and energized by managing multiple workflows in a fast-paced environment

Job Responsibility

Act as the initial human touchpoint for patients, managing a high volume of inbound & outbound messages via email and chat
Coordinate essential care logistics, including verifying medical and prescription eligibility, assisting with specialist referrals, and initiating prior authorizations
Triage & properly escalate member concerns using established protocols
Maintain documentation within Zendesk and our Electronic Health Record (EHR)
Partner cross-functionally to identify friction points in the patient experience
Propose and implement improvements to workflows, tools, and member-facing processes

What we offer

Competitive healthcare benefits
Generous equity compensation
Generous vacation policy

Fulltime

Ambulatory Care Navigator, Urology Oncology

Provides continuity of care by ensuring smooth transitions between care settings...

Location

United States , Winston Salem

Salary:

40.30 - 60.45 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Registered Nurse license issued by the state in which the team member practices
Bachelor's Degree in Nursing
Typically requires 5 years of experience in nursing that includes performing nursing assessments, care plan development, and educating patients
Working knowledge of the components of quality and acute patient care needs
Maintains clinical expertise to effectively manage physical, emotional, psychosocial and spiritual needs of patients throughout the care continuum
Excellent analytical and interpersonal communication skills necessary to negotiate with families, patient, physicians, and third-party payers
Demonstrated ability to work well with physicians and other professionals in a direct and positive manner

Job Responsibility

Provides continuity of care by ensuring smooth transitions between care settings
Develops a relationship with patient and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care
Completes a nursing assessment to identify the patient's individualized needs and collaborates with multidisciplinary team and other departments to develop an interdisciplinary plan of care
Supports the patient and family by providing education, addressing psychosocial needs, advocating, providing continuity of care and identifying barriers to care
Navigates patients and family members throughout the diagnosis, treatment and follow-up of the patient throughout the continuum of care
Provides expert clinical advice to the multidisciplinary team in designing collaborative teaching plans/programs and in planning/providing patient/family education and discharge planning including wellness and health maintenance within designated specialty
Coordinates timely, seamless, evidenced based care across the care continuum resulting in best patient outcomes
Evaluates, selects or designs patient education materials on specific disease site programs
Provides education and outreach programs to patients, Advocate staff and to members of the community
Assist leadership in developing program vision, goals and objectives

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions

Fulltime

Hospital Care Navigator

As a Hospital Care Navigator, you’ll be a vital part of ensuring patients leave ...

Location

United Kingdom , City of London

Salary:

27007.00 GBP / Year

Imago Community

Expiration Date

Until further notice

Requirements

Has experience working with vulnerable adults in social care, healthcare, or the community/voluntary sector
Communicates with empathy and confidence across different teams at different levels, and with patients
Is highly organised, with excellent time management skills
Has awareness and respect for cultural differences

Job Responsibility

Identify needs and barriers to safe discharge
Achieve safe and timely patient discharge
Coordinate outpatient appointments and follow-up services
Provide clear, compassionate advice and support to patients and their families
Ensure patients understand their discharge plan every step of the way
Meet with patients, their families, friends, or carers to assess ongoing needs
Ensure a safe plan is in place for their return home
Liaise with Adult Social Care and other home providers to coordinate home support
Follow up on calls or visits to ensure the patient is managing well at home

Fulltime

Transitional Care Navigator

Addus Home Care / JourneyCare Hospice is seeking a Hospice Transitional Care Nav...

Location

United States , Naperville

Salary:

82000.00 - 93000.00 USD / Year

Arcadia Home Care and Staffing - an Addus family company

Expiration Date

Until further notice

Requirements

Bachelor’s degree in marketing, business administration, or other related fields is preferred
Licensed as a registered nurse in the state of practice, preferred
Minimum of two years relevant experience
Must possess the ability to make independent decisions when circumstances warrant
Must possess the ability to deal tactfully with patients, family members, visitors, agency personnel, and public
Must be knowledgeable of quality assessment and assurance procedures
Valid driver’s license and proof of insurance is required

Job Responsibility

Serve as hospice clinical consultant and educator, acting as extensions of hospital and physician care team
Review hospital clinical documentation/EMR/HCHB, engage with patients and providers to build clinical patient profiles and clinical-admission-assessments and identify decline patterns
Consult with hospital care teams by sharing clinical profiles and educating on hospice appropriateness
Identify attending and consulting providers associated with referred patients – to provide patient assessment, eligibility and discharge education and awareness
Collaborate with field sales representatives to schedule and conduct consultative meetings with external care teams
Initiate and maintain care team workflows for: Patient information / clinical assessment and documentation, Consultation / education planning and delivery, External and internal meetings and preparations
Identify trends, needs, and partnership opportunities for earlier hospice engagement
Foster effective and trusted relationships with external care teams to improve patient outcomes and enhance end-of-life satisfaction
Communicate clearly and consistently with hospital leadership and care coordination teams
Effectively organize, track and prioritize high-value patient comprehensive reviews

What we offer

Great culture and team atmosphere
Comprehensive benefits (medical, dental, vision, life/AD&D, disability), effective on the first of the month
401(k) retirement plan with a generous company match
Generous time off accruals
Paid holidays
Mileage reimbursement
Tuition Reimbursement
Employee Referral Program
Merit Increases
Employee Discount Programs

Fulltime

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Care Navigator

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Care Navigator

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