Clinical Navigator (RT)

Respire Homecare Services•Elmhurst, NY

12h

About The Position

Respire Homecare Services is hiring a Clinical Navigator (RT) to guide patients and families through the home-care journey, from referral acceptance through onboarding, equipment setup, ongoing support, resupply, recertification, and discharge or transfer. The Navigator serves as a consistent clinical guide and point of contact, coordinating with families, Sales Liaisons, providers, referral partners, payers, and internal teams to anticipate barriers and keep each step moving. The role is assigned to 2–4 Sales Liaisons and their shared patient portfolio, and reports to the Director, Patient Navigation. This is hands-on clinical navigation rather than traditional intake. The Navigator uses respiratory therapy expertise to educate and reassure caregivers, troubleshoot respiratory equipment and therapy concerns, coordinate transitions home, and support field setups and follow-up visits when needed. The role also manages clinical and payer requirements, insurance verification and prior authorizations, documentation, continuity outreach, and escalation of concerns within role scope. Respire describes its culture as mission-driven and focused on patient-centered care, whole-person wellness, dignity, teamwork, trust, open communication, and mutual respect. The company offers opportunities for career growth and a competitive pay and benefits package. Compensation is $38–$45 per hour.

Requirements

Active, unencumbered Respiratory Therapist license (CRT or RRT) in the state of practice; RRT preferred.
At least two years of respiratory therapy experience.
Hands-on knowledge of home respiratory equipment and ventilator and tracheostomy care.
Working knowledge of clinical documentation, medical necessity, payer requirements, insurance verification, prior authorization, and patient-access workflows, or ability to learn them quickly.
Strong organization and follow-through, including the ability to manage a caseload, competing priorities, deadlines, and detailed documentation in a fast-paced environment.
Clear, respectful written and verbal communication with patients, caregivers, referral partners, physicians, payers, and internal teams.
Sound clinical judgment, resourceful problem-solving, and ability to distinguish routine needs from urgent concerns requiring escalation.
Confidence working in the field and with referral partners, along with empathy, discretion, reliability, and persistent patient advocacy within policy and role scope.
Comfort using electronic health records, payer portals, workflow systems, Microsoft Office, telephone systems, and other digital tools.

Nice To Haves

RRT credential (preferred over CRT).
Experience in HME or DME, home care, patient access, intake, case management, insurance verification, or authorization.
Brightree experience.

Responsibilities

Manage an assigned patient portfolio from referral acceptance through onboarding, setup, ongoing support, resupply, recertification, and discharge or transfer.
Introduce Respire and the onboarding process to families, explain service expectations and next steps, confirm demographic and insurance information, and identify barriers.
Partner with an assigned team of 2–4 Sales Liaisons to coordinate referral commitments, discharge planning, home evaluations or assessments, documentation, equipment needs, and timing.
Review clinical, documentation, and payer requirements; complete insurance verification and prior-authorization submissions; and obtain missing information, orders, and signatures with relevant parties.
Coordinate families, hospital or facility teams, prescribers, RTs, warehouse, delivery, and internal support teams around milestones, risks, and planned setup dates.
Schedule home assessments, caregiver training, equipment setup, and follow-up visits; confirm equipment, supplies, documentation, and clinical orders are ready for the transition.
Educate patients and caregivers, troubleshoot respiratory equipment and therapy concerns, reinforce the plan of care, and route urgent or out-of-scope issues to the appropriate clinician or provider.
Perform equipment setups and follow-up visits when staffing and patient needs require, in accordance with licensure, competency, policy, and the plan of care.
Schedule and track protocol-based follow-up, proactive outreach, resupply, continued-need documentation, prior-authorization renewal, and recertification.
Maintain timely, accurate Brightree records, notes, tasks, workflow status, and handoffs; keep families, referral partners, and internal teams informed.
Identify clinical, safety, caregiver, access, financial, service, or continuity concerns; take appropriate action within role scope and track escalated issues through resolution.
Participate in physician and referral-partner conversations, hospital or facility meetings, and Sales ride-alongs.
Participate in competency validation, team huddles, care coordination, complaint and incident review, audits, training, and process-improvement activities.