Clinical Navigator (RT)

Respire Homecare Services•Indianapolis, IN

About The Position

Respire Homecare Services is hiring a Clinical Navigator to guide patients and families through the full home respiratory-care journey, from referral acceptance through onboarding, equipment setup, ongoing support, resupply, recertification, and discharge or transfer. The Navigator serves as a consistent clinical point of contact, coordinates the people and details involved in each transition, anticipates barriers, and advocates for families. This is hands-on clinical navigation rather than traditional intake, with responsibilities that include caregiver education, respiratory-equipment troubleshooting, coordination with physicians and referral partners, and follow-through across internal teams. The Navigator is assigned to 2–4 Sales Liaisons and their shared patient portfolio and reports to the Director, Patient Navigation. The role includes reviewing clinical, documentation, and payer requirements; verifying insurance and submitting prior authorizations; coordinating discharge planning and home assessments; and ensuring that equipment, supplies, documentation, orders, and caregiver training are ready for transitions home. The Navigator provides clinical support within their scope and licensure, may perform equipment setups and follow-up visits as staffing and patient needs require, and tracks ongoing follow-up, resupply, continued-need documentation, authorization renewal, and recertification. The position also requires accurate and timely workflow documentation, communication with families and care partners, escalation and follow-through on concerns, participation in referral-partner interactions, and involvement in training, audits, reviews, and process improvement.

Requirements

Active, unencumbered Respiratory Therapist license (CRT or RRT) in the state of practice; RRT is 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 the 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 and respectful written and verbal communication with patients, caregivers, referral partners, physicians, payers, and internal teams.
Sound clinical judgment, resourceful problem-solving, and the 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.
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 expectations and next steps, confirm demographic and insurance information, and identify barriers.
Coordinate with an assigned team of 2–4 Sales Liaisons on referral commitments, discharge planning, home evaluations or assessments, documentation, equipment needs, and timing.
Review clinical, documentation, and payer requirements; verify insurance; submit prior authorizations; and obtain missing information, orders, and signatures with Sales, providers, payers, and families.
Coordinate families, hospital or facility teams, prescribers, RTs, warehouse, delivery, and internal support teams around transition milestones, risks, and setup dates.
Schedule home assessments, caregiver training, equipment setup, and follow-up visits; confirm equipment, supplies, documentation, and clinical orders are ready before transitions.
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, consistent 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 and 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.