Care Navigator: Member Access & Care Advocate

EmsanaCare, Inc.; St. Louis (MO); On-site; USD 45,000 - 60,000; Full time

Job summary

Handpicked Health seeks a Care Navigator to be the primary contact for members and families, helping them access high-quality care and understand their benefits through text-based navigation. You will coordinate appointments, records, remove barriers to care, and collaborate with care teams while maintaining HIPAA-compliant documentation for PHI and provider networks.

This role reports to the Care Navigation manager and requires empathy, collaboration, and a patient focus to drive better

Qualifications

• 1-2 years of healthcare-related customer service experience.
• Working knowledge of insurance benefits and the ability to explain them clearly.
• Basic knowledge of medical terminology.
• Professional, friendly demeanor with excellent written and verbal communication across members, providers, and leadership.
• Strong organizational, time-management, and multitasking skills with close attention to detail.

Responsibilities

• Coordinate appointments, tests, and procedures so each member's care is connected across providers.
• Make sure providers have the medical records and care plan information they need before a visit.
• Identify barriers to care and resolve them by working with insurance carriers, provider offices, and community resources.
• Serve as the main point of contact for members and their families through text, chat, and phone.
• Explain care options, Handpicked Health services, and employer-sponsored insurance benefits in plain language.
• Share education and resources about conditions, treatment options, and next steps.
• Keep physicians, nurses, social workers, and other care team members informed about each member's care and progress.
• Work with the Provider Navigation team to match members with top-rated providers in the APP.
• Document member interactions accurately and securely, following HIPAA requirements for PHI.

Skills

Healthcare CS

Explain insurance benefits

Medical terminology

Written communication

Organizational skills

Time management

Multitasking

Job description

Handpicked Health seeks a Care Navigator to be the primary contact for members and families, helping them access high-quality care and understand their benefits through text-based navigation. You will coordinate appointments, records, remove barriers to care, and collaborate with care teams while maintaining HIPAA-compliant documentation for PHI and provider networks.

This role reports to the Care Navigation manager and requires empathy, collaboration, and a patient focus to drive better