Care Navigator

• Address patient and durable power of attorney (DPOA) inquiries via telephone
• Respond to patient or caregiver messages received via the Curana Patient Portal
• Assist patients with scheduling follow-up appointments with Curana Providers or specialists
• Manage electronic health records (EHR) and ensure accurate and up-to-date patient records
• Coordinate documents needed for review or signature by a provider
• Facilitate provider orders and escalate findings
• Maintain patient rosters for APCM and GUIDE programs
• Support provider scheduling
• Assist with prior authorizations
• Obtain patient records and diagnostic test results
• Answer and manage incoming calls professionally and courteously
• Collaborate with the Curana Interdisciplinary Care Team to ensure seamless communication within the health network
• Perform other duties as assigned

Care Navigator supporting remote senior healthcare providers and patients at Curana Health

Care Navigator supporting patients and providers for Curana Health’s value-based senior healthcare services. Managing EHR records, scheduling, calls, patient messages, authorizations, and care-team coordination remotely.

• The Oncology Quality & Care Pathways Navigator serves as the clinical quality resource for the Oncology Service Line
• Partners with physicians, advanced practice providers, nursing, pharmacy, infusion services, and ancillary departments to promote evidence-based, high-quality cancer care
• Performs comprehensive chart reviews, monitors adherence to National Comprehensive Cancer Network (NCCN) guidelines and organizational treatment pathways, identifies gaps in care, evaluates medications and supportive therapies, and validates documentation
• Collaborates directly with providers to improve patient outcomes
• Supports quality improvement initiatives and ensures timely, coordinated, patient-centered care.

Oncology Quality & Care Pathways Navigator ensuring evidence-based cancer care coordination

Oncology Quality & Care Pathways Navigator

Oncology Quality & Care Pathways Navigator ensuring evidence-based cancer care coordination. Collaborating with healthcare teams to monitor compliance and improve patient outcomes while supporting quality initiatives.

• Under supervision of clinical leadership, the navigator is a phone queue based role responsible for answering calls from Magellan members, individual providers, facilities, and customer representatives.
• May provide utilization management review and authorization of behavioral health and substance use disorder services ranging from outpatient counseling to inpatient levels of care.
• May assist with connection to Employee Assistance Program (EAP) services including counseling, coaching, Critical Incident Response and Workplace Support Services (WPS).
• Responsible for triaging calls, determining level of risk, managing crisis calls, and assessing members for all types of risk following Magellan's established crisis call protocols.
• Navigator will be assigned additional responsibilities based on experience, including training and mentoring newly hired navigators.

Clinical Care Navigator managing calls for Magellan members and providers

Senior Clinical Care Navigator

Clinical Care Navigator responsible for phone queue management and crisis call assessment for Magellan members. Providing utilization management reviews and EAP connection support.

• Conduct high-volume outbound calls to engage patients and schedule healthcare services
• Coordinate care across multiple services, including mammograms, bone density screenings, and primary care connections - ensuring successful scheduling, follow-up, and completion of care
• Identify and address social determinants of health (SDoH) barriers by connecting patients to appropriate community resources (e.g., transportation, housing, financial assistance, food access)
• Conduct patient assessments to understand clinical, social, and logistical barriers to care
• Educate patients on available healthcare services and community resources, ensuring they understand how to access and benefit from them
• Build trust with patients and caregivers through clear, empathetic, and effective communication
• Proactively follow up with patients to ensure completion and close gaps in care
• Manage multiple workflows simultaneously while maintaining accuracy and attention to detail
• Maintain accurate and detailed documentation of all patient interactions and resource coordination in accordance with HIPAA and healthcare privacy standards
• Collaborate cross-functionally with clinical, operations, and support teams to ensure seamless patient experiences
• Escalate issues appropriately and in a timely manner when patterns, risks, or blockers are identified
• Support additional projects and initiatives as needed

Care Navigator assisting patients in navigating healthcare services

Care Navigator assisting patients with scheduling healthcare services and addressing barriers to care. Driving patient engagement through effective communication and coordination across services.

• Develops, assesses, and coordinates care management activities based on member needs
• Develops or contributes to the development of a personalized care plan/service plan for members
• Educates members and their families/caregivers on services and benefit options available
• Evaluates the needs of the member, barriers to care, and resources available
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team
• May monitor progress towards care plans/service plans goals and/or member status
• Collects, documents, and maintains all member information and care management activities to ensure compliance
• May perform on-site visits to assess member’s needs

Care Navigator assisting 28 million members with health management

Care Navigator providing care management services to Centene's 28 million members. Collaborating with healthcare teams to improve health care access and outcomes.

• Develops, assesses, and coordinates care management activities based on member needs
• Develops or contributes to the development of a personalized care plan/service plan for members
• Educates members and their families/caregivers on services and benefit options
• Evaluates the needs of the member and recommends and facilitates the best outcome
• Provides psychosocial and resource support to members/caregivers through advocacy and care coordination
• Coordinates between the member and care provider team to ensure accessibility of care
• May monitor progress towards care plans and collaborate with healthcare providers
• Collects, documents, and maintains all member information and care management activities
• Performs on-site visits to assess member’s needs and collaborate with providers as appropriate

Care Navigator coordinating healthcare for members in Kansas

Care Navigator – Foster Care

Care Navigator role focusing on care management activities and coordination of healthcare services. This position involves on-site visits and collaboration with providers to support members in Kansas.

• Provide essential clinical and administrative support to ensure seamless care coordination and an excellent member experience.
• Support providers, care teams, and patients by managing communication, clinical documentation, and workflow tasks.
• Perform chart preparation for upcoming visits, ensuring accuracy of history, medications, and pending orders.
• Manage Phreesia tasks, including intake forms, consents, messaging, and patient-submitted schedule requests.
• Conduct virtual visit clinical intake.
• Monitor and manage jellybeans in eCW, particularly test results and orders requiring follow-up.
• Assist with fax inbox routing.
• Schedule and coordinate referral appointments, ensuring follow-up on referral notes and documentation completion.
• Collaborate with providers and care team members to close loops on labs, imaging, and specialist referrals.
• Assist in clinical call management, ensuring patient needs are addressed promptly.
• Participate in staff meetings, huddles, and training sessions as required.

Care Navigator providing clinical and administrative support in healthcare

Care Navigator providing essential clinical and administrative support in healthcare. Supporting patient care coordination and enhancing patient access in a remote setting.

• Answer incoming clinical phone calls and resolve patient needs or escalate appropriately.
• Manage telephone encounters, follow-up calls, and member success communications.
• Perform chart preparation for upcoming visits, ensuring accuracy of history, medications, and pending orders.
• Manage Phreesia tasks, including intake forms, consents, messaging, and patient-submitted schedule requests.
• Conduct virtual visit clinical intake.
• Monitor and manage jellybeans in eCW, particularly test results and orders requiring follow-up.
• Assist with fax inbox routing.
• Schedule and coordinate referral appointments, ensuring follow-up on referral notes and documentation completion.
• Collaborate with providers and care team members to close loops on labs, imaging, and specialist referrals.
• Participate in staff meetings, huddles, and training sessions as required.

Care Navigator providing clinical and administrative support in remote healthcare

Care Navigator providing clinical and administrative support at PeopleOne Health. Ensuring seamless care coordination and enhancing patient access in a remote work environment.

• Develops, assesses, and coordinates care management activities based on member needs
• Provides quality, cost-effective healthcare outcomes
• Educates members and their families/caregivers on services and benefit options
• Evaluates the needs of the member and recommends the plan for the best outcome
• Develops personalized care plans and identifies needed resources for care
• Provides psychosocial and resource support to members and caregivers
• Coordinates between members and care provider teams
• Collects, documents, and maintains all member information
• May perform on-site visits and provide education to care managers

Care Navigator coordinating healthcare outcomes for members in a remote role

Care Navigator coordinating care management activities and ensuring quality healthcare outcomes for members. Requires Bachelor's degree and 2-4 years of experience, with remote flexibility.

• Provide in-the-moment clinical support, psycho education, and connection to appropriate referrals and resources on an outbound phone team. Some inbound crisis line support is required.
• Utilize skills such as active listening, motivational interviewing, and solution-focused approaches to collaboratively engage with members seeking help with mental health, substance use, or family/relationship concerns.
• Assess for risks and provide crisis support, safety planning, and follow up with high risk members to ensure safety and timely connection to care.
• Recommend a plan of action based on clinical presentation and coordinate connection to appropriate care and services (Spring Health therapists, coaches, physicians, or external resources).
• Use effective written skills to complete professional documentation and to interact with members and providers through email.
• Follow care management outreach protocols and utilize good clinical judgment to identify and problem-solve barriers or disruptions to care.
• Promote effective care by coordinating closely with Spring Health care providers and the Provider Operations team.
• Interact and problem-solve with multi-disciplinary teams such as Care Support, Benefits/Billing, and Product to ensure a smooth member experience.
• Participate in staff meetings, case consultations, and training.
• Assist with onboarding and mentoring new team members.
• Follow Spring Health policies and maintain all confidentiality, compliance, and ethical standards.

Clinical Care Navigator providing mental health support at Spring Health

Clinical Care Navigator

Clinical Care Navigator providing mental health support at Spring Health. Engaging with clients on mental health and crisis care while coordinating resources and referrals.

• Using evidence-based interventions, skillfully manage client crises, providing brief risk assessment, safety planning, and de-escalation with the goal of connecting the client to treatment
• Identify roadblocks to clinical care options for our clients using Lyra’s proprietary software and other methods to connect clients to the ideal treatment, based on specific needs and preferences
• Independently manage a caseload of complex, multi-need clients

Managing crises and connecting clients to behavioral health care at Lyra Health.

Clinical Care Navigator – Part Time

Managing client crises and providing phone support for mental health care at Lyra Health. Focusing on client safety and connecting them to evidence-based providers.

• Run Health Screenings & Intake Calls: Call patients to complete health screenings and intake appointments using a standard set of questions. Build quick rapport so patients feel comfortable sharing accurate information during each 15–20 minute call.
• Schedule & Follow Through: Book intake appointments directly in Healthie (no separate booking link needed). If a patient can't complete the intake on the spot, schedule it for yourself rather than passing them to someone else — this keeps the relationship consistent. Follow up to confirm appointments and keep show rates high.
• Connect Patients to Resources: Ask open-ended questions to understand each patient's needs. After a completed intake, schedule the right next step — a visit with their doctor or a Community Health Worker.
• Keep Accurate Records: Enter patient information into our records system in real time during each call. Review your notes for accuracy and finish all documentation before the end of your shift. Follow all privacy rules (HIPAA) and get formal patient consent for every call.
• Meet Your Goals: Manage your daily schedule and consistently hit your targets, including a show rate of 60% or higher for scheduled intakes. Space out your appointments so you have time to review your notes carefully.

Care Navigator supporting patients in health assessments and intake appointments

Care Navigator supporting patients through health screenings and resource connections. Contributing to Wider Circle's community health programs and maintaining accurate patient records while working remotely.

• Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs
• Assesses member compliance with medical treatment plans via telephone or through on-site visits
• Identifies barriers to plan compliance and coordinates resolutions
• Identifies opportunities that impact quality goals and recommends process improvements
• Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider
• Coordinates identification of and referral to local, state or federally funded programs
• Coaches members on ways to reduce health risks
• Prepares reports to document case and compliance updates
• Establishes and maintains relationships with agencies identified in appropriate contract

Care Navigator managing member treatment plans for CareBridge Health

Care Navigator, Transitions of Care

Care Navigator ensuring appropriate member treatment plans are followed for CareBridge Health. Coordinating care, assessing compliance, and recommending service modifications while enhancing member health outcomes.

• Managing crises and providing in-the-moment telephone support to clients with complex behavioral health issues
• Ensuring client safety and connecting clients to high-quality, evidence-based providers and facilities
• Supporting clients in connecting to care, exclusively by phone and email
• Adopting new technology platforms and having a growth mindset
• Working Sunday - Thursday: 12am-8:30am PT (1am-9:30am MT / 2am-10:30am CT / 3am-11:30am ET)

Care Navigator providing telephone support for complex behavioral health issues

Clinical Care Navigator, After Hours

Care Navigator providing telephone support for clients managing crises with complex behavioral health issues. Working to connect clients to high-quality providers and facilities exclusively by phone and email.

• Connect potential clients to the correct Rosecrance services and resources
• Answer all incoming calls from the main line, greet callers, obtain and provide information through a set of predetermined questions, transfer calls to appropriate parties and/or take messages
• Open new client inquiries in Avatar, and connect with proper Access department or front desk
• Handled incoming faxes through opening inquiries, scanning in and distributing to proper staff or department
• Work with access team to ensure calls for service are answered in a timely and professional manner
• Serve as a member of the team, and participate in all team meetings, duties and activities as assigned
• Perform all responsibilities in compliance with the mission, vision, values, and expectations of Rosecrance
• Demonstrates strong customer service skills that incorporate the 5 tenets of the Rosecrance Way into daily practices and interactions with all stakeholders

Care Navigator connecting clients to Rosecrance services and resources

Care Navigator at Rosecrance connecting potential clients to the correct services and resources. Answering calls and performing receptionist duties when needed.

• Conduct case management on behalf of the client and Southern Scripts.
• Provide targeted, personalized service based on a holistic view of the member.
• Engage members through telephone, correspondence, fax, or app.
• Assist members in understanding components of Southern Scripts products.
• Support the success of Southern Scripts and our clients through the development of member-centric solutions.
• Maintain compliance with ERISA, HIPAA, and client specific requirements.
• Work as part of a team to meet business unit objectives.

Associate Care Navigator conducting case management for Southern Scripts clients

Associate Care Navigator

Associate Care Navigator responsible for case management on behalf of Southern Scripts clients. Engaging members for personalized service and ensuring compliance with regulations.

• Communicating with enrolled patients in conjunction with the patient’s care team
• Conducts virtual consultations with patients, focusing on patient education for lifestyle and behavior as it relates to clinical status
• Following approved partner workflows, reviews and responds to remotely transmitted patient data such as blood pressure, blood glucose, weight, and pulse oximetry
• Documents patient communication in patient records
• Responsible for assisting patients in setting up their device
• Works collaboratively with other team members when help is needed
• Able to work independently
• Possess excellent time management and organizational skills
• Engaging personality with the desire to learn new topics in lifestyle medicine
• Ability to acquire, interpret, and convey clinical research
• Pays attention to detail for each task
• Additional duties as assigned

LPN supporting chronic care management through remote patient monitoring for HealthSnap

LPN, New York License Required – Care Navigator

LPN supporting chronic care management through remote patient monitoring for HealthSnap. Communicating with patients and care teams for improved health outcomes.

• Complete phone consultations with patients enrolled in care management and/or remote patient monitoring programs, providing support and education about their chronic conditions.
• Educate patients about their health conditions and empower them with lifestyle and behavior strategies to actively manage their chronic conditions.
• Assist patients in setting and reaching goals in line with their provider-approved care plans.
• Maintain accurate and up-to-date patient records, ensuring all interactions and care plans are documented per protocol.
• Address patient concerns and barriers to care, working to find practical solutions to improve patient adherence and outcomes.
• Provide clear, compassionate, and effective communication to patients.
• Follow approved workflows regarding communicating patient needs to their providers.
• Participate in training sessions, team meetings, and quality improvement initiatives to enhance the care navigation process and patient experience.
• Respond to remotely transmitted patient data such as blood pressure, blood glucose, weight, and pulse oximetry according to approved partner workflows.

LPN providing patient support in chronic care management remotely.

LPN, Alaska License Required – Care Navigator

LPN providing patient support in chronic care management remotely while leveraging HealthSnap’s innovative platform. Role emphasizes educating patients on chronic conditions like hypertension and diabetes.

• Connect Banner Plan Network Members with services to maximize health care benefits
• Coordinate services into or out of care settings
• Assist with patient navigation through the healthcare system
• Participate in health care team meetings
• Educate internal members on care management and community resources
• Act as the designated BPN representative within the community
• Serve as a point of contact for community inquiries
• Identify potential outreach opportunities for community benefits
• Document all interventions and patient-related activities

Community Care Navigator connecting patients with healthcare services

Community Care Navigator

Community Care Navigator connecting patients with healthcare services at Banner Plans & Networks. Coordinating care and assisting members with healthcare benefits and resources.

• Primarily work in a virtual setting to support individuals with mental health conditions and substance use disorders, diagnosed and undiagnosed, and unmet needs with respect to social services
• Perform initial and ongoing virtual outreach using an omnichannel approach to a qualified population with the goal of engaging identified individuals to understand the needs and barriers to care
• Utilize motivational interviewing techniques to understand the individual’s care goals
• Screen for unmet behavioral health, social service and physical health conditions and needs
• Identify clinical needs and triage escalations, providing brief interventions, as necessary
• Identify and address barriers to definitive behavioral health care
• Identify the appropriate level of evidence-based care for the individual, as applicable
• Support navigation of that individual to appropriate care, including behavioral health and/or primary care, as applicable
• Support post-care follow-up

Behavioral Health Care Navigator supporting individuals with mental health challenges remotely

Behavioral Health Care Navigator

Behavioral Health Care Navigator working to improve care access for individuals with mental health conditions. Engaging patients remotely and assisting in navigating behavioral health services.

Care Navigator jobs in United States

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Care Navigator

Oncology Quality & Care Pathways Navigator

Senior Clinical Care Navigator

Care Navigator

Care Navigator

Care Navigator – Foster Care

Care Navigator

Care Navigator

Care Navigator – Foster Care

Clinical Care Navigator

Clinical Care Navigator – Part Time

Care Navigator

Care Navigator, Transitions of Care

Clinical Care Navigator, After Hours

Care Navigator

Associate Care Navigator

LPN, New York License Required – Care Navigator

LPN, Alaska License Required – Care Navigator

Community Care Navigator

Behavioral Health Care Navigator