Care Navigator

2 weeks ago

Brooklyn, New York, United States POD Health Full time
Job Title: Care Navigator

POD Health is seeking a highly skilled Care Navigator to join our team. As a Care Navigator, you will play a critical role in guiding patients through the enrollment and onboarding process for our RPM, CCM, and CHI programs.

Key Responsibilities:
  • Assist patients in enrolling in RPM, CCM, and CHI programs, providing clear guidance and support throughout the process.
  • Schedule and manage patient appointments, including enrollments, escalations, follow-ups, and healthcare visits.
  • Collaborate with healthcare teams to ensure seamless coordination and delivery of care across RPM, CCM, and CHI programs.
  • Ensure accurate and timely data entry into EMR systems and other platforms, maintaining compliance with HIPAA regulations.
  • Monitor and manage patient referrals, leads, and opportunities in Salesforce, maintaining accuracy and following up as needed.
  • Address patient inquiries and escalate concerns related to RPM, CCM, and CHI services to appropriate healthcare professionals.
  • Proactively follow up with patients to ensure engagement with their care plans, maintaining regular communication with patients, caregivers, and providers.
  • Conduct insurance eligibility checks via platforms such as e-PACES, verifying coverage for RPM, CCM, and CHI services.
  • Enhance provider efficiency by performing pre-appointment cross-checks in ChronicCareIQ and HHA Exchange, ensuring patient charts are verified, updated, or entered accurately.
  • Maintain effective, professional communication with patients and team members through phone, email, and other correspondence, fostering a supportive and welcoming patient experience.
  • Oversee device ordering and setup for RPM, ensuring patients receive and understand how to use their devices for effective monitoring.

Requirements:

  • High school diploma required; additional education or certification in Medical Administration is preferred.
  • Previous experience in a medical receptionist or administrative role, ideally in a healthcare setting.
  • Proficiency in using RPM and CCM platforms and EMR systems.
  • Experience with Salesforce for managing referrals, leads, and patient opportunities.
  • Familiarity with HHA Exchange for coordinating patient care is preferred.
  • Bilingual fluency in English and Spanish or Mandarin/Cantonese is a plus.
  • Strong verbal and written communication skills, with the ability to handle sensitive patient interactions empathetically and professionally.
  • Excellent organizational and multitasking abilities, with attention to detail in scheduling, data entry, and patient follow-ups.
  • Proficiency in telehealth platforms, communication tools, Microsoft Office, and HIPAA compliance in virtual environments.
  • Strong problem-solving skills and the ability to work effectively in a fast-paced, virtual environment.

POD Health provides equal employment opportunities to all employees and applicants for employment without regard to race, religion, color, ethnic origin, gender, gender identity, age, marital status, veteran status, sexual orientation, disability, or any other basis prohibited by applicable federal, state, or local law.

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