Care Navigator

• Guide older adults and their caregivers through the intake process with warmth, clarity, and professionalism.
• Help each new patient navigate the journey into care, from matching with the right therapist to feeling confident and understood.
• Be the steady hand assisting patients during moments of vulnerability, turning them into reassurance and trust.

Care Navigator supporting older adults through the intake process at Sailor Health

Care Navigator at Sailor Health guiding older adults through the intake process for mental health care. Providing emotional support and care coordination to enhance mental wellness.

• Patient Outreach & Engagement: Monitor and identify patients with confirmed extended health benefits for allied health services
• Proactively notify patients of their available coverage and how it can be used within LifestyleRx
• Conduct periodic follow-ups with patients to assess progress, answer questions, and provide guidance on available services
• Support patients in understanding how allied health services integrate into their overall care plan
• Service Navigation: Guide patients through available allied healthcare offerings (dietetics, physiotherapy, clinical counselling)
• Help patients to assess whether services are appropriate based on their needs and goals
• Support patients in enrolling in services only where there is a clear benefit to the patient
• Ensure all recommendations are aligned with clinical guidance and evidence-based care
• Inbound Support & Ticket Follow-up: Respond to patient inquiries received through the support inbox in a timely and professional manner
• Follow up on service recommendation tickets submitted by LifestyleRx physicians
• Coordinate with internal teams to ensure patient questions and concerns are resolved efficiently
• Maintain clear and accurate documentation of all patient interactions
• Collaboration & Care Coordination: Work closely with Patient Success, physicians, and allied health practitioners
• Ensure continuity of care by reinforcing physician recommendations and care plans
• Escalate clinical or complex concerns to the appropriate care team members

Care Navigator supporting LifestyleRx patients in accessing allied healthcare services

Care Navigator role assisting LifestyleRx patients to access and benefit from healthcare services. Focused on guiding patients and ensuring they are informed and supported throughout their care journey.

• Act as the primary point of contact for all patient related elements of the PSP.
• Responsible for the timely enrollment of the patient into the Patient Support Program.
• Telephone support (including maintenance calls and adherence support both inbound and outbound as needed).
• Collaborate with the patient, insurer, and physician regarding the documentation necessary for maximal reimbursement coverage, including the investigation of all public and private insurers and supporting employer escalations as required.
• Reviews the patient status and assists the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests.
• Provides therapy guidelines/education on the program to manage patient and physician expectations.
• Collects information and conducts patient financial assessment eligibility based on program guidelines.
• Liaise with physicians’ offices, pharmacies, infusion/injection services providers and other parties to provide comprehensive and coordinated service to patients and physicians and resolve issues as they arise.
• Ensures patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.
• Review, analyze and validate information provided by patients for accuracy and completeness to ensure initiation and continuation of services.
• Maintain service levels in case management, including telephone answer rates, time to initiate contact with the patient, Adverse Events reported as per SOPs, and any other KPIs established as the Program level.
• Maintains accurate and timely patient/clinic information within the Customer Relationship Management (CRM) system.
• Fosters and promotes a spirit of teamwork while working with internal patient support teams.
• Identifies obstacles to obtaining coverage and channels this information to the PSP Supervisor.
• Follow‐up/advocate until a decision is received, ideally securing coverage for the patient.
• Maintains confidentiality of patient, client and corporate information and discusses same only with appropriate personnel.
• Additional duties as requested by the Manager.

Care Navigator managing patient support and drug reimbursement processes

Care Navigator managing patient support and drug reimbursement processes for Sentrex Health Solutions. Collaborating with patients and physicians to ensure timely access to therapies.

Care Navigator jobs in Canada

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Care Navigator

Care Navigator

Care Navigator