Health Navigator Jobs

About The Position

Requirements

• Must have active Michigan RN license, surrounding states a plus
• BS in Nursing and a compact unrestricted Michigan Registered Nurse license.
• Five years of nursing experience, including at least one year in cardiology nursing.
• Care management experience.
• Member-centric approach: You prioritize the member experience and demonstrate a deep commitment to Karoo Health’s mission.
• Organization: You excel at multitasking and thrive in fast-paced environments, while maintaining meticulous organization in communications and documentation.
• Communication: You are an effective listener and communicator, skilled at building rapport and fostering strong working relationships with members and colleagues.
• Adaptability: You are comfortable with change and have a proven track record of success in dynamic environments.

Nice To Haves

• Virtual or telehealth experience preferred.

Responsibilities

• Actively engage, mostly virtually, with members, address clinical issues, and efficiently manage any escalations that arise.
• Establish trusting relationships with members and their care network, prioritizing empathy and active listening in every interaction.
• Identify and address member needs promptly, offering assistance with care coordination, symptom management, nutritional support, discharge planning, and provider referrals.
• Under the guidance of our Nurse Team Lead or NP, conduct comprehensive clinical assessments, oversee member health, and facilitate care discussions, with the goal of improving quality, outcomes and cost of care.
• Support members throughout the cardiology care continuum, coordinating care, and providing clinical support as needed.
• Be available for urgent clinical escalations and provide clinical consult support as required.
• Familiarize yourself with Karoo Health systems, tools, technology, and partners, conducting a minimum of 20 member calls per day.
• Adhere to Care Team policies, procedures, and documentation standards, contributing to efficient operations and maintaining quality standards.
• Collaborate closely with Nurse Team Lead, NP and Medical Directors to ensure alignment with clinical protocols and best practices.
• Participate in case conferences to monitor member progress, provide updates, and collaborate on targeted support plans with the healthcare team.
• Foster strong partnerships with payers and providers to optimize care delivery and minimize readmissions.
• Collaborate with non-clinical Care Team members to address issues such as nutrition and social determinants of health needs, such as food resources and transportation access.