Care Navigator (Bilingual:Spanish)

POD Health; New York (NY); On-site; USD 55,000 - 75,000; Full time

Job summary

POD Health in Brooklyn is seeking a Care Navigator to guide patients through enrollment and onboarding for RPM, CCM, and CHI programs. You will coordinate patient care and facilitate communication between healthcare providers and patients, verify insurance eligibility, and maintain accurate records.

You will manage referrals and leads in Salesforce, perform pre-appointment checks in ChronicCareIQ and HHA Exchange, and oversee device ordering and setup for RPM, while ensuring HIPAA compliance.

Qualifications

• High school diploma required; additional education or certification in Medical Administration preferred.
• Experience in sales, ideally in a healthcare setting.
• Proficiency with RPM and CCM platforms and EMR systems.
• Experience with Salesforce for managing referrals, leads, and patient opportunities.
• Bilingual fluency in English and Spanish required.

Responsibilities

• Guide patients through enrollment in RPM, CCM, and CHI programs.
• Coordinate patient care and communicate with healthcare teams.
• Verify insurance eligibility and maintain accurate patient records.
• Enter data into EMR systems (e.g., AdvancedMD) and other platforms.
• Monitor referrals and manage patient opportunities in Salesforce.
• Oversee device ordering and setup for RPM; ensure patient training.

Job description

About us:

At POD Health, we are redefining healthcare by combining technology and personalized care to enhance patient outcomes. Our comprehensive services—Telehealth, Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Community Health Initiatives (CHI)—are designed to provide patients with the care they need, when they need it, no matter where they are.

Through our Telehealth and RPM services, we ensure that patients have real-time access to healthcare, empowering them to manage their health proactively and avoid unnecessary hospital visits. Our Chronic Care Management programs create tailored care plans for patients with chronic conditions, ensuring ongoing support between office visits. Additionally, our Community Health Initiatives focus on addressing health disparities, making care more accessible to underserved populations.

At POD Health, we strive to make healthcare personal, proactive, and accessible for all.

Position Title: Care Navigator

Location: Brooklyn

Schedule: Full Time - Monday-Friday 9 am-5 pm

Job Summary:

As a Care Navigator, you will guide patients through the enrollment and onboarding process for RPM, CCM, and CHI programs. Your role is crucial in helping patients—particularly those in underserved communities—access and benefit from these services. You will coordinate patient care, facilitate communication between healthcare providers and patients, verify insurance eligibility, and maintain accurate patient records. By ensuring timely interventions and follow-ups, you will contribute to improved patient outcomes and reduced hospital visits.

Key Responsibilities:

• Assist patients in enrolling in RPM, CCM, and CHI programs, providing clear guidance throughout the process.
• Schedule and manage patient appointments, including enrollments, escalations, follow-ups, and healthcare visits such as M11q and DOH-type appointments.
• Collaborate with healthcare teams to ensure seamless coordination and delivery of care across RPM, CCM, and CHI programs.
• Ensure accurate and timely data entry into EMR systems (e.g., AdvancedMD) and other platforms, ensuring compliance with HIPAA regulations.
• Monitor and manage patient referrals, leads, and opportunities in Salesforce, maintaining accuracy and following up as needed.
• Address patient inquiries and escalates concerns related to RPM, CCM, and CHI services to appropriate healthcare professionals.
• Proactively follow up with patients to ensure engagement with their care plans, maintaining regular communication with patients, caregivers, and providers.
• Conduct insurance eligibility checks via platforms such as e-PACES, verifying coverage for RPM, CCM, and CHI services.
• Enhance provider efficiency by performing pre-appointment cross-checks in ChronicCareIQ (CCIQ) and HHA Exchange, ensuring patient charts are verified, updated, or entered accurately.
• Maintain effective, professional communication with patients and team members through phone, email, and other correspondence, fostering a supportive and welcoming patient experience.
• Oversee device ordering and setup for RPM, ensuring patients receive and understand how to use their devices for effective monitoring.

Requirements:

• High school diploma required; additional education or certification in Medical Administration is preferred.
• Previous experience in sales, ideally in a healthcare setting.
• Proficiency in using RPM and CCM platforms (e.g. ChronicCareIQ) and EMR systems (e.g., AdvancedMD).
• Experience with Salesforce for managing referrals, leads, and patient opportunities.
• Familiarity with HHA Exchange for coordinating patient care is preferred.
• Bilingual fluency in English and Spanish is required
• Strong verbal and written communication skills, with the ability to handle sensitive patient interactions empathetically and professionally.
• Excellent organizational and multitasking abilities, with attention to detail in scheduling, data entry, and patient follow-ups.
• Proficiency in telehealth platforms, communication tools (e.g., Zoom), Microsoft Office, and HIPAA compliance in virtual environments.
• Strong problem-solving skills and the ability to work effectively in a fast-paced, virtual environment.