Care Navigator

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $23 - $31 / hour

⏰ Full 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 daily referrals to secondary care outside Crossover Health, including specialists, imaging, community resources, and employer benefits • Maintain specialist, community service, and employer benefit directories • Track referrals, communicate with stakeholders, and document referral activity 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 • Provide clinical-team updates and visibility into active referrals • Use clinical judgment and critical thinking to determine provider type and referral urgency • Generate complete referral packets and submit relevant clinical documents to specialists • Confirm specialist receipt of referral packets and timely patient 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 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 • Ability to work in multiple technology platforms simultaneously • Clinical judgment and critical thinking in accessing and documenting patient referral information • Organization and accountability within a fluid and constantly changing environment • Strong communication, customer service and people skills • 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 • Ability 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 • Comprehensive benefits package