Remote Remote (Country)

Centivo is hiring a Health Navigator

Responsibilities

  • Provide coverage during business hours to manage incoming patient messages and requests.
  • Assist patients with scheduling, rescheduling, and confirming appointments.
  • Answer patient administrative questions and escalate clinical questions appropriately.
  • Conduct outbound communication to patients by phone as appropriate.
  • Call labs or pharmacies for refills, clarifications, or updates as directed by providers.
  • Contact patients and providers to gather necessary clinical or administrative information.
  • Triage patient requests, escalating urgent medical needs to same-day visits or to the provider team for guidance.
  • Create and route patient cases in the EMR to the appropriate providers or care team members.
  • Facilitate specialty and imaging referrals, ensuring referral orders are completed, faxed, and communicated to patients and facilities.
  • Manage closed-loop referral follow-up, retrieving specialist consult notes and ER discharge summaries.
  • Support prior authorization workflows for medications as directed.
  • Update pre-visit information prior to scheduled appointments including ensuring eligibility, demographics, preferred lab/pharmacy, etc.
  • Supporting patients virtually to obtain, document, and report accurate vital signs.
  • Obtaining, documenting, and reporting basic medical, social, and family history.
  • Providing patient education on topics such as blood pressure monitoring and glucometer usage if needed.
  • Manage medical record requests from patients and externally (labs, specialists, etc).
  • Retrieve and upload records, lab results, and hospital discharge summaries to the EMR.
  • Provide cross-coverage across care teams as needed.
  • Respond to and resolve patient voicemails, messages, etc.
  • Collaborate with providers and operations teams to maintain smooth care coordination.
  • Initiate, track, and follow up on specialty and imaging referrals.
  • Communicate with community specialists by phone and prioritize urgent referrals when needed.

Requirements

  • Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), or equivalent clinical background and/or work experience.
  • 2+ years of experience in primary care, ambulatory, or virtual care setting.
  • Strong EMR experience (Athena preferred).
  • Excellent communication and organization skills.
  • Demonstrated ability to multitask and prioritize in a virtual, fast-paced environment.
  • Willingness to learn and collaborate with your team

Nice to Have

  • Spanish-speaking preferred.
  • Open to travel for specific marketing or clinical events up to 2x/month
  • Experience with telehealth platforms and digital patient communication tools.
  • Familiarity with referral management, insurance eligibility verification, and prior authorizations.
  • Knowledge of HIPAA and patient privacy best practices.

Additional Information

  • Temporary for 3 months
  • Coverage required between 8am–8pm EST
  • Spanish-speaking preferred
  • Open to travel for specific marketing or clinical events up to 2x/month
About company
Centivo
Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers.
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Job Details
Department Clinical
Category other
Posted 14 days ago