Care Navigator

Consonus Healthcare; Portland (OR); Remote; USD 50,000 - 65,000; Full time

Job summary

A leading healthcare provider in Oregon is seeking a Care Navigator to support members in senior living facilities. This remote position involves engaging with members, coordinating care, and ensuring high-quality healthcare delivery. Join a team dedicated to transforming healthcare for seniors.

Qualifications

• At least 1 year experience in healthcare or patient engagement.
• Experience in senior living facilities is strongly preferred.

Responsibilities

• Act as the primary point of contact for members and families.
• Assist members with referrals, appointment scheduling, and accessing benefits.
• Coordinate care among specialists and monitor care transitions.

Skills

Communication

Teamwork

Computer Literacy

Job description

Overview

Care Navigator

Looking for a way to make a difference in people’s lives?

As a Care Navigator, you will play a critical role in supporting our members to live the best, rest of their lives. This position acts as the primary point of contact for our members, their families, and our partner senior living facilities. You will help members navigate through the healthcare landscape and advocate for their highest quality of care.

The position is remote and requires visits to facilities regularly. Duties include, but are not limited to:

Member Engagement:

• Main contact for Members and families upon Plan enrollment
• Conduct welcome interviews and Health Risk Assessments, with routine follow-ups
• Assist members with referrals, appointment scheduling, DME orders, and accessing Plan benefits
• Participate in Care Planning meetings as appropriate
• Coordinate care among specialists, home health, therapy, Plan APP, PCP, etc.

Facility Engagement:

• Act as the liaison for facilities, connecting them to Plan resources like APP, sales, and leadership
• Assist with customer service requests such as billing, authorizations, or member transfers

Clinical Support:

• Collect medical records from community sources (H&P’s, medication history, specialist notes, etc.)
• Support Utilization Management and APPs with record collection
• Monitor care transitions and notify the Plan APP and utilization management
• Monitor enrollment status changes and notify Plan APP

AgeRight Advantage is a provider-owned Medicare Advantage Plan serving members in Senior Living Facilities across Oregon. Established in 2017, our model delivers care directly to members when they need it most.

Join our innovative team that is transforming healthcare delivery and improving health outcomes for seniors!

Qualifications

• At least 1 year experience in healthcare, social services, or patient engagement
• Experience in senior living facilities is strongly preferred
• Computer literate, proficient with email, internet, and databases
• Excellent verbal and written communication skills; able to produce reports
• Pleasant personality and team-oriented

EEO Statement

“Be here. Be you.”

For over 30 years, AgeRight has served seniors and embraced diverse backgrounds, skills, and perspectives. Our companies value diversity as it fosters strength, innovation, and new perspectives. We are committed to reflecting the communities we serve and fostering an inclusive culture, which is fundamental to our identity and future growth.