Care Navigator - Prosano Tucson River & Campbell Clinic - Onsite

Blue Cross Blue Shield of Arizona•Tucson, AZ

11d•Onsite

About The Position

The Care Navigator is a key contributor to Prosano Health Solutions’ care team, helping deliver an excellent patient experience and supporting improved health outcomes and cost savings. The role is responsible for navigating specialist and diagnostic testing referrals from end to end, and partnering with the care team to support patients in their health journey. It emphasizes patient care, privacy, compliance, and service in a dynamic healthcare setting. The position is 100% onsite at the care center and may require movement between clinics. Working hours may include extended hours.

Requirements

High school diploma or GED.
Basic Life Saving (BLS) certification.
Experience with Electronic Medical Records.
Customer service orientation and experience.
Excellent interpersonal skills, including courteous, friendly, and effective communication with patients, team members, and external parties.
Strong communication skills across multiple modalities.
Collaborative approach, empathy, and advocacy.
Exceptional organizational skills and attention to detail.
Ability to maintain confidentiality at all times.
Active Arizona fingerprint clearance card.

Nice To Haves

Interest in furthering education or certification.
Clinical background such as Registered Medical Assistant (RMA) or Certified Nursing Assistant (CNA).
Proficiency with other healthcare-related software platforms.
High degree of independence, flexibility, initiative, and commitment.

Responsibilities

Support members in person and virtually with real-time education, scheduling specialist and diagnostic referral appointments, and appointment follow-through and follow-up.
Contribute to improved health outcomes and cost savings.
Provide empathetic problem-solving and act as a visible partner to patients.
Clarify and explain recommendations for specialist and diagnostic services.
Manage the end-to-end referral or specialist-services process as needed.
Participate in developing and managing quality programs, including patient outreach to address gaps in care and other clinical needs.
Support members with chronic conditions through education, reminders, and other assistance.
Lead service and scheduling requests on members’ behalf.
Inform and equip the Care Team with referral information and requirements.
Assist with specialist relationship management.
Perform other duties as assigned.