This position receives/responds to incoming calls from referral sources/patients and communicates with providers for CareCentrix and contacts referral sources to advise them of referral status. Reviews utilization information concerning patient care for CareCentrix and matches those needs to available care options within the reauthorization guidelines provided by CareCentrix and patientsβ health care. Assists the Supervisor and Manager with coaching, training, call monitoring, reports and mentoring of new associates. Acts as a clinical resource to department specialists, providing expertise and clinical knowledge. Negotiates with providers when needed and stay within the guidelines. Performs Utilization Management and participates in performance improvement activities.
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USD/year
USD/year
As a Care Navigator specializing in community resources, you will play a vital role in ensuring that patients receive comprehensive care by connecting them with relevant community services and by assisting patients in closing care gaps. The Care Navigator plays a crucial role in providing a positive, welcoming experience for patients. The ideal candidate will have a strong customer-service orientation, be passionate about patient care, and never hesitate to go the extra mile.