Healthcare Navigator
4 weeks ago
CareGuide Advocates is committed to providing exceptional healthcare support to our members. We are seeking a highly skilled and compassionate Member Advocate to join our team.
About the Role
- Provide exceptional customer service to members over the phone, ensuring their needs are met and concerns are addressed.
- Manage a caseload of members, providing support with appointment scheduling, locating affordable services, and assisting with forms.
- Investigate member medical and billing concerns, negotiating and settling claims as needed.
- Explore and provide guidance on affordable prescription assistance, ensuring members have access to necessary medications.
- Guide members through filling out important medical documents for Financial Assistance, ensuring they receive the support they need.
- Gather and examine patient information to determine eligibility for financial assistance, ensuring fairness and accuracy.
- Record, review, and follow up on patient complaints, resolving issues promptly and professionally.
- Maintain accurate and up-to-date record keeping files and systems, ensuring seamless communication with members.
- Establish and maintain trusted relationships with members, providing timely updates on their case status.
- Comply with HIPAA industry standards and regulations, ensuring confidentiality and security of member information.
- Participate in special projects as assigned, contributing to the growth and development of CareGuide Advocates.
Requirements
- High School diploma or equivalent required.
- 2-3 years of related experience, including medical terminology knowledge.
- Excellent communication and customer service skills, both written and verbal.
- 1-2 years of experience working with multi-line phone systems.
- Strong technical and organizational skills, with the ability to work independently and as part of a team.
- Proficient in Microsoft Office and ability to learn new software programs.
- Experience with medical claims preferred.
Benefits
CareGuide Advocates offers a comprehensive benefits package, including health, vision, dental, and generous PTO. We value our employees and are committed to providing a supportive and inclusive work environment.
-
Healthcare Navigator
2 weeks ago
Dallas, Texas, United States Baylor Scott & White Healthcare Full timeJob SummaryThe Member Navigator plays a vital role in guiding members with chronic health issues, gaps in care, or difficulties engaging with the healthcare system. This position requires strong communication and interpersonal skills to establish trusting relationships with members, assess barriers to care, and facilitate connections between members,...
-
Healthcare Navigator
1 day ago
Dallas, Texas, United States Health Care Service Corporation Full timeJob SummaryInnovation Lab (Dallas) is a hub for customer-centric innovation, where we reimagine the purpose of health insurance. As a Health Coordinator, you will be part of a team that puts customers first, exploring and activating solutions to reduce healthcare expenses and improve health outcomes.This role is responsible for contacting members to inform...
-
Care Navigator
6 days ago
Dallas, Texas, United States Included Health Full timeJob Title: Care NavigatorAt Included Health, we're on a mission to raise the standard of healthcare for everyone. As a Care Navigator, you'll play a critical role in delivering integrated virtual care and navigation to our members. Your primary responsibility will be to provide comprehensive, in-home care management services to high-risk patients, focusing...
-
Nurse Navigator Position
4 weeks ago
Dallas, Texas, United States Children's Health (Dallas) Full timeJob Title: Nurse NavigatorChildren's Health (Dallas) is seeking a highly skilled Registered Nurse (RN) to fill the role of Nurse Navigator. This position requires a strong background in pediatric nursing, with a focus on providing exceptional patient care and navigation through the healthcare system.Job Summary:The Nurse Navigator will work closely with...
-
Nurse Navigator Position
4 weeks ago
Dallas, Texas, United States Children's Health (Dallas) Full timeNurse Navigator Job DescriptionChildren's Health (Dallas) is seeking a highly skilled Registered Nurse (RN) to fill the role of Nurse Navigator. This position requires a strong background in pediatric nursing and excellent communication skills to effectively coordinate patient care and navigate the healthcare system.Key Responsibilities:Collaborate with...
-
Care Navigator
4 days ago
Dallas, Texas, United States Included Health Full timeJob Title: Care NavigatorAt Included Health, we're on a mission to raise the standard of healthcare for everyone. As a Care Navigator, you'll play a vital role in delivering integrated virtual care and navigation to our members. Your expertise will help us break down barriers to provide high-quality care for every person in every...
-
Nurse Navigator Position
4 weeks ago
Dallas, Texas, United States Children's Health (Dallas) Full timeNurse Navigator Job DescriptionChildren's Health (Dallas) is seeking a highly skilled Registered Nurse (RN) to fill the role of Nurse Navigator. This position requires a strong background in pediatric nursing and excellent communication skills to effectively coordinate patient care and navigate the healthcare system.Key Responsibilities:Collaborate with...
-
Nurse Navigator Position
4 days ago
Dallas, Texas, United States Children's Health (Dallas) Full timeNurse Navigator Job DescriptionChildren's Health (Dallas) is seeking a highly skilled Nurse Navigator to join our team. As a Nurse Navigator, you will play a vital role in coordinating patient care and ensuring seamless transitions between healthcare services.Key Responsibilities:Collaborate with healthcare teams to identify patient needs and develop...
-
Pharmacy Navigation Specialist
2 weeks ago
Dallas, Texas, United States Rightway Inc Full timeAbout the RoleThis position plays a critical role in supporting our Clinical Pharmacists in delivering exceptional patient care and navigation services. As a Pharmacy Navigation Specialist, you will be responsible for providing expert guidance and support to our members, ensuring they receive the best possible care and outcomes.Key ResponsibilitiesServe as a...
-
Nurse Navigator
5 days ago
Dallas, Texas, United States Children's Health (Dallas) Full timeAbout the RoleWe are seeking a highly skilled and compassionate Nurse Navigator to join our team at Children's Health (Dallas). As a key member of our healthcare team, you will play a vital role in ensuring the seamless transition of care for our patients and their families.Key ResponsibilitiesCollaborate with healthcare providers and clinical teams to...
-
Pharmacy Navigator
6 days ago
Dallas, Texas, United States Cencora Full timeJob SummaryWe are seeking a highly motivated and detail-oriented Pharmacy Navigator to join our team at Cencora. As a Pharmacy Navigator, you will play a critical role in ensuring the smooth operation of our pharmacy services, working closely with our clinical pharmacy team and healthcare providers to deliver exceptional patient care.Key...
-
Care Transition Navigator
5 days ago
Dallas, Texas, United States Methodist Health System Full timeJob SummaryWe are seeking a highly skilled Care Transition Navigator to join our team at Methodist Health System. As a Care Transition Navigator, you will play a critical role in coordinating activities that promote quality outcomes, patient throughput, and discharge planning.Key ResponsibilitiesCoordinate patient care transitions to ensure seamless handoffs...
-
Healthcare Advocate
4 days ago
Dallas, Texas, United States AIDS Healthcare Foundation Full timeJob OverviewAIDS Healthcare Foundation is seeking a dedicated and compassionate Community Health Worker to join our team.As a Community Health Worker, you will play a vital role in connecting our vulnerable population with their healthcare providers and conducting outreach to re-engage at-risk patients in care.Key Responsibilities:Conduct outreach to...
-
Care Transition Navigator
5 days ago
Dallas, Texas, United States Methodist Health System Full timeJob Title: Care Transition NavigatorAt Methodist Health System, we are seeking a highly skilled and compassionate Care Transition Navigator to join our team. As a Care Transition Navigator, you will play a vital role in ensuring seamless transitions for patients from one level of care to another, promoting quality outcomes, and optimizing resource...
-
Pediatric Nurse Navigator
4 weeks ago
Dallas, Texas, United States Children's Health (Dallas) Full timeAbout the RoleWe are seeking a highly skilled Pediatric Nurse Navigator to join our team at Children's Health (Dallas). As a key member of our nursing staff, you will play a vital role in coordinating patient care and ensuring seamless transitions between healthcare services.Key ResponsibilitiesCollaborate with healthcare providers and clinical teams to...
-
Navigation Systems Engineer
4 weeks ago
Dallas, Texas, United States American Systems Full timeJob Title / LevelNavigation Systems Engineer - Top Secret Clearance with SCI EligibilityClearance Required?Top Secret/SCILocation:Dallas, TX 75243 US (Primary)0 - 10% TravelJob DescriptionWe are seeking a highly skilled and mission-driven professional with an Active Top Secret (with SCI-eligibility) clearance to join our team as a Navigation Systems Engineer...
-
Pediatric Nurse Navigator
4 weeks ago
Dallas, Texas, United States Children's Health (Dallas) Full timeAbout the RoleWe are seeking a highly skilled Pediatric Nurse Navigator to join our team at Children's Health (Dallas). As a key member of our nursing staff, you will play a vital role in coordinating patient care and ensuring seamless transitions between healthcare services.Key ResponsibilitiesCollaborate with healthcare providers and clinical teams to...
-
Pediatric Nurse Navigator
4 weeks ago
Dallas, Texas, United States Children's Health (Dallas) Full timeAbout the RoleWe are seeking a highly skilled Pediatric Nurse Navigator to join our team at Children's Health (Dallas). As a key member of our nursing staff, you will play a vital role in coordinating patient care and ensuring the highest level of quality and safety.ResponsibilitiesCollaborate with healthcare teams to identify patient needs and develop...
-
Traveling Healthcare Professional
4 weeks ago
Dallas, Texas, United States Host Healthcare Full timeHost Healthcare is a leading travel healthcare company with a current opening for a Registered Nurse - Cardiac Cath Lab in San Antonio, TX.Why Choose Host Healthcare?At Host Healthcare, we pride ourselves on being a passionate and transparent team. Our dedicated recruiters act as your career mentor and advocate, helping you navigate each step of the process....
-
Care Transition Navigator PRN
5 days ago
Dallas, Texas, United States Methodist Health System Full timeCare Transition Navigator PRN Job DescriptionJob Summary: We are seeking a skilled Care Transition Navigator PRN to coordinate activities that promote quality outcomes, patient throughput, and discharge planning while supporting a balance of optimal care and appropriate resource utilization.Key Responsibilities:Coordinate patient transitions to ensure...