Care Navigator

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $23 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Crossover Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Crossover Health is a healthcare company focused on innovative primary care services. They offer both virtual and in-person healthcare solutions through their health centers, delivering a comprehensive range of services including primary care, physical medicine, mental health coaching, and occupational medicine. Crossover Health partners with employers and brokers to provide integrated healthcare plans that aim to reduce healthcare costs and improve patient outcomes. Since 2010, they have been pioneering an advanced primary care model in the United States, emphasizing a holistic approach to healthcare through their licensed care teams across all 50 states.

📋 Description

• Process referrals daily to secondary care outside Crossover Health, including specialists, imaging, community resources, and employer benefits • Maintain high-quality specialist, community service, and employer benefit directories • Track referrals, maintain communication, and document appropriately to ensure continuity of care • Ensure referrals are addressed in a timely manner • Assist with training MDs and CNs on the external referral process • Assist with prior authorizations as needed • Serve as the single point of contact between specialists, clinic physicians, and patients for care outside Crossover Health clinics • Provide updates to the clinical team to ensure visibility into active referrals • Use clinical judgment and critical thinking to identify the correct provider type and stratify referral urgency • Generate complete referral packets and submit appropriate clinical documents to specialists • Ensure referral packets arrive at specialist offices and patients receive timely appointments • Work within patient insurance benefits and consult benefit specialists to support high-quality, cost-effective care • Troubleshoot downstream complications and unexpected circumstances to prevent gaps in care • Interface professionally with primary care MDs, RNs, and clinic Hosts • Assist in developing technology and service innovations for closed-loop communication and coordination • Perform other duties as assigned

🎯 Requirements

• At least 3 years of applicable experience (experience in a Primary Care setting preferred) • High school diploma/GED required • Proficient working with Google spreadsheets and/or excel, database management and data tracking • Bachelor’s Degree or relative medical experience (preferred) • Experience processing referrals for a medical group • Creative and flexible and effectively manages obstacles • Excellent follow-through and have strong task execution skills • Able to handle ambiguity when problem solving • Thrive in a fast-paced and rapidly changing environment • Ability to work in multiple technology platforms simultaneously, using clinical judgment and critical thinking in accessing and documenting information that pertains to each patient’s referral process • Organization and accountability within a fluid and constantly changing environment • Strong communication, customer service and people skills; the ability to connect with all stakeholders (patients, doctors, nursing staff, clinic staff, technicians) • Excellent problem solving and problem preempting skills • Willingness and drive to go the distance to help • Work with a team to create new and improved workflows that build upon our new centralized referral management product • May require standing, walking and sitting for extended amounts of time • Occasionally lift and carry items weighing up to 50 lbs. • Manual and finger dexterity and hand-eye coordination • Includes full range of body motion • Requires corrected vision, hearing and speech within normal ranges • Must be able to effectively communicate with patients and team members

🏖️ Benefits

• Medical Insurance • Dental Insurance • Vision Insurance • Short- and Long-Term Disability • Life Insurance • Paid Time Off • 401K