Care Navigator

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $23 - $31 / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 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 regarding active referrals • Use clinical judgment and critical thinking to identify provider type and 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 for high-quality, cost-effective care • Troubleshoot downstream complications and prevent gaps in care • Interface professionally with primary care MDs, RNs, and clinic Hosts • Assist in developing technology and service innovations for closed-loop referral 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 preferred • Creative and flexible and effectively manages obstacles • Excellent follow-through and 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 • Ability to connect with patients, doctors, nursing staff, clinic staff, and technicians • Excellent problem solving and problem preempting skills • Willingness and drive to go the distance to help • Ability to work with a team to create new and improved workflows • 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 • Full range of body motion • Corrected vision, hearing and speech within normal ranges • Must be able to effectively communicate with patients and team members

🏖️ Benefits

• Eligible for 401K • Equal Employment Opportunity • Disability accommodation assistance