RN Patient Navigator Lead

2 weeks ago


San Antonio, Texas, United States Christus Health Full time
Job Summary

The Registered Nurse Patient Navigator Lead is a key role within CHRISTUS Health, responsible for providing health and wellness coaching, case management services, and analysis to support CHRISTUS services. This position plays a critical role in monitoring cases and claims, analyzing biometric and health risk assessment data, and organizing disease management programs to proactively interact with members, physicians, and other providers.

Key Responsibilities
  • Develop and implement an integrated medical benefit program, including case management and health/disease management.
  • Establish a system for coordinating patient care throughout the continuum of care.
  • Utilize standard tools, databases, and methodologies to support the health benefit program and provide leadership in managing cases, events, and diseases.
  • Interact with providers and plan members to provide efficient and effective case management services.
  • Identify targeted chronic diseases/high-risk individuals and develop programs to reduce financial and health risks.
  • Monitor and evaluate the effects of case management on the patient population.
  • Create outcomes-management focus through interdisciplinary analysis of clinical, financial, and satisfaction elements.
  • Assist in analyzing demographics, utilization, and reimbursement.
  • Prepare cost analysis and reports to determine claim/cost data and utilization rates.
  • Make recommendations based on data analysis for benefit structure, pharmacy formulary, deductibles, co-pays, and out-of-pocket expenses.
Requirements
  • Associate's Degree in Nursing
  • 5-7 years of experience
  • RN License in state of employment or compact
  • BLS


  • San Antonio, Texas, United States Christus Health Full time

    Job SummaryThe Registered Nurse Patient Navigator Lead is a key role within CHRISTUS Health, responsible for providing health and wellness coaching, case management services, and analysis of CHRISTUS services. This position plays a critical role in monitoring cases and claims, analyzing biometric and health risk assessment data, and organizing disease...


  • San Antonio, Texas, United States Christus Health Full time

    Job SummaryThe Registered Nurse Patient Navigator Lead is a key member of our healthcare team, responsible for providing health and wellness coaching, case management services, and analysis to support CHRISTUS services.ResponsibilitiesDevelop and implement an integrated medical benefit program, including case management and health/disease...


  • San Antonio, Texas, United States CHRISTUS Health Full time

    Job SummaryThe Registered Nurse Patient Navigator Lead is a key member of our healthcare team, responsible for providing health and wellness coaching, case management services, and analysis to support CHRISTUS Health's services. This role involves monitoring cases and claims, analyzing biometric and health risk assessment data, and organizing disease...


  • San Antonio, Texas, United States Christus Health Full time

    Job Summary: The Registered Nurse Patient Navigator Lead is a key member of the CHRISTUS Health team, responsible for providing health and wellness coaching, case management services, and analysis and expertise regarding CHRISTUS services. This role involves monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease...


  • San Antonio, Texas, United States CHRISTUS Health Full time

    {"h1": "Patient Navigator Lead RN Job Description", "p": "At CHRISTUS Health, we are seeking a highly skilled Registered Nurse Patient Navigator Lead to join our team. As a key member of our healthcare team, you will play a vital role in providing health and wellness coaching, case management services, and analysis and expertise regarding CHRISTUS...


  • San Antonio, Texas, United States Christus Health Full time

    Job Title: RN, Registered Nurse Patient Navigator LeadJob Summary:The RN, Registered Nurse Patient Navigator Lead is a key member of our healthcare team, responsible for providing health and wellness coaching, case management services, and analysis and expertise regarding CHRISTUS services. This role involves monitoring cases and claims, analyzing biometric...

  • RN Navigator Lead

    2 weeks ago


    San Antonio, Texas, United States Christus Health Full time

    {"Job Title": "RN Navigator Lead", "Job Summary": "At Christus Health, we are seeking a highly skilled RN Navigator Lead to join our team. As a key member of our healthcare team, you will play a vital role in providing health and wellness coaching, case management services, and analysis and expertise regarding CHRISTUS services.", "Responsibilities":...


  • San Antonio, Texas, United States Christus Health Full time

    Job Summary:The Registered Nurse Patient Navigator Lead is a key member of the CHRISTUS Health team, responsible for providing health and wellness coaching, case management services, and analysis and expertise regarding CHRISTUS services. This role involves monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease...


  • San Antonio, Texas, United States Lead Health Full time

    We're seeking a skilled Med-Surg Registered Nurse to join our team at a top healthcare facility in San Antonio, Texas. As a Travel RN, you'll have the opportunity to make a positive impact on patient care while enjoying a high-paying and flexible lifestyle.Key Benefits:Competitive weekly payComprehensive medical, dental, and vision coverage401k plan with...


  • San Antonio, Texas, United States Elevate Patient Financial Solutions Full time

    Job SummaryThe Patient Financial Advocate will serve as a liaison between patients, hospitals, and government agencies to connect uninsured patients with programs that cover their medical expenses. This role requires exceptional customer service skills, adaptability, and the ability to navigate complex government programs.Key ResponsibilitiesScreen uninsured...


  • San Antonio, Texas, United States Elevate Patient Financial Solutions Full time

    Job SummaryThe Bilingual Patient Advocate will play a critical role in connecting uninsured hospital patients to programs that cover their medical expenses. This position requires strong communication skills, adaptability, and the ability to navigate complex government programs.Key ResponsibilitiesScreen uninsured hospital patients to determine eligibility...

  • RN Care Navigator

    1 week ago


    San Antonio, Texas, United States Humana Inc Full time

    About the RoleWe are seeking a skilled RN Care Navigator to join our team in San Antonio, TX. As a Care Navigator, you will play a critical role in proactively engaging patients identified as high-risk and implementing targeted interventions to address social needs and increase access to care.Key ResponsibilitiesConduct Transitions of Care Management for a...

  • Care Navigator

    2 weeks ago


    San Antonio, Texas, United States Conviva Full time

    About the RoleConviva Care Centers is seeking a highly skilled and compassionate Care Navigator to join our team in San Antonio, TX. As a Care Navigator, you will play a vital role in proactively engaging patients identified as high-risk and implementing targeted interventions to address social needs and increase access to care.Key ResponsibilitiesConduct...

  • Care Navigator

    3 days ago


    San Antonio, Texas, United States Conviva Care Solutions Full time

    Job Title: Registered Nurse - Care NavigatorAt Conviva Care Solutions, we are committed to putting health first for our patients and our team members. We are seeking a highly skilled Registered Nurse to join our team as a Care Navigator.About the Role:The Care Navigator will play a critical role in our interdisciplinary care team, working closely with...

  • Care Navigator

    3 days ago


    San Antonio, Texas, United States Conviva Care Solutions Full time

    Job Title: Registered Nurse - Care NavigatorAt Conviva Care Solutions, we are committed to putting health first for our patients and our team members. We are seeking a highly skilled Registered Nurse to join our team as a Care Navigator.Job Summary:The Care Navigator will work closely with an interdisciplinary care team to proactively engage high-risk...

  • Care Navigator

    3 days ago


    San Antonio, Texas, United States Conviva Care Solutions Full time

    Job Title: Registered Nurse - Care NavigatorAt Conviva Care Solutions, we are committed to putting health first for our patients and our team members. We are seeking a highly skilled Registered Nurse to join our team as a Care Navigator.Job Summary:The Care Navigator will work closely with our interdisciplinary care team to proactively engage high-risk...

  • RN Care Navigator

    1 week ago


    San Antonio, Texas, United States Conviva Full time

    About the RoleWe are seeking a skilled RN Care Navigator to join our team in San Antonio, TX. As a key member of our interdisciplinary care team, you will play a vital role in proactively engaging high-risk patients and implementing targeted interventions to address social needs and increase access to care.Key ResponsibilitiesConduct transitions of care...

  • Care Navigator

    3 days ago


    San Antonio, Texas, United States Conviva Care Solutions Full time

    Job Title: Registered Nurse - Care NavigatorAt Conviva Care Solutions, we are committed to putting health first for our patients and our team members. We are seeking a highly skilled Registered Nurse to join our team as a Care Navigator.Job Summary:The Care Navigator will work closely with an interdisciplinary care team to proactively engage patients...

  • Care Navigator

    3 days ago


    San Antonio, Texas, United States Conviva Care Solutions Full time

    Job Title: Registered Nurse - Care NavigatorAt Conviva Care Solutions, we are committed to putting health first for our patients and our team members. We are seeking a highly skilled Registered Nurse to join our team as a Care Navigator.Job Summary:The Care Navigator will work closely with our interdisciplinary care team to proactively engage high-risk...


  • San Antonio, Texas, United States Conviva Care Solutions Full time

    Job SummaryWe are seeking a skilled Care Navigator to join our team at Humana Inc. As a Care Navigator, you will play a critical role in proactively engaging patients identified as high-risk and implementing targeted interventions to address social needs and increase access to care.Key ResponsibilitiesDevelop and implement care plans leveraging the 5Ms...