Care Navigator

Upward HealthShreveport, LA
Remote

About The Position

The Care Navigator serves as the primary point of contact for patients, ensuring a seamless and coordinated care experience. They will be responsible for facilitating communication between patients, their families, providers, and the Care Team, ensuring the delivery of comprehensive and continuous care. The Care Navigator will also handle patient registration, insurance verification, scheduling, follow-up support after visits, and offer general administrative assistance. This role is essential in optimizing patient care by coordinating with multiple healthcare providers, verifying insurance coverage, and supporting the broader Care Team to ensure smooth transitions and ongoing care.

Requirements

  • 3+ years of experience in a healthcare practice, preferably in a patient representative or care coordination role
  • High school diploma or GED required
  • Experience with health insurance, including verification and understanding of medical terminology
  • Strong organizational skills with the ability to handle multiple tasks in a fast-paced environment
  • Excellent oral and written communication skills for clear and efficient communication with patients, providers, and the Care Team
  • Strong attention to detail to ensure that all information is accurate and comprehensive
  • Technologically savvy, including proficiency with EHR and related systems
  • Ability to work independently in a remote setting while collaborating effectively with team members

Nice To Haves

  • Multilingual capabilities preferred, but not required
  • Knowledge of community resources in the applicable geographic area

Responsibilities

  • Facilitate communication between patients, their families, providers, and the Care Team.
  • Ensure the delivery of comprehensive and continuous care.
  • Handle patient registration.
  • Verify insurance coverage.
  • Schedule appointments.
  • Provide follow-up support after visits.
  • Offer general administrative assistance.
  • Coordinate with multiple healthcare providers.
  • Support the broader Care Team to ensure smooth transitions and ongoing care.
  • Act as the main point of contact for patients.
  • Provide ongoing communication to help patients navigate the healthcare system.
  • Ensure all administrative, clinical, and coordination tasks are completed promptly.
  • Work cohesively with the Care Team, providers, and other stakeholders.
  • Utilize clear, empathetic, and professional communication with patients, their families, and healthcare providers.
  • Ensure all documentation and patient information is accurate, complete, and updated in a timely manner.
  • Facilitate the coordination of care across multiple providers and service levels.
  • Verify insurance information.
  • Handle prior authorizations.
  • Address insurance inquiries.
  • Accurately enter data.
  • Navigate multiple healthcare technology systems, including EHRs and CRM platforms.
  • Maintain organized and up-to-date patient records.
  • Identify and resolve issues that may arise in patient care coordination, such as insurance eligibility, scheduling conflicts, or resource gaps.
  • Manage various tasks, such as scheduling appointments, patient follow-ups, and handling insurance inquiries.
  • Maintain attention to detail and deadlines.
  • Effectively engage with patients from diverse backgrounds, demonstrating cultural sensitivity and empathy.
  • Maintain appropriate professional boundaries with patients and team members.
  • Ensure patient privacy and confidentiality in all interactions.

Benefits

  • Upward Health Benefits
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