Care Navigator - Prosano Care Center Chandler/Gilbert

Blue Cross Blue Shield of AZ; Phoenix (AZ); On-site; USD 52,000 - 70,000; Full time

Job summary

Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, is hiring a Clinical Care Guide to deliver end-to-end referral and diagnostic testing navigation. You will lead care team collaboration, emphasize patient care, privacy, and compliance in a dynamic health setting.

The position is on-site at the Chandler/Gilbert area care center in AZ, with hours that may extend beyond regular schedule.

Qualifications

• Excellent interpersonal skills with patients, team members and external parties.
• BLS certification is required.
• High school diploma or GED.
• Interest in pursuing further education or certification.
• Electronic Medical Records experience.
• Customer service orientation and experience.
• Strong communication across multiple modalities.
• Highly collaborative and empathetic.
• Ability to maintain confidentiality and AZ fingerprint clearance.

Responsibilities

• Support members in-person and virtually with real-time education and scheduling of referrals; follow-through and follow-up of appointments.
• Contribute to improved health outcomes and cost savings.
• Be an empathetic problem-solver and a prominent partner to patients.
• Clarify and explain referrals for specialist and diagnostic services.
• Care for end-to-end processes for referrals or services as needed.
• Participate in quality programs including patient outreach for gaps in care.
• Support members with chronic conditions through education, reminders and support.
• Lead service and schedule requests on the member's behalf.
• Inform the Care Team with referral information and requirements.
• Assist in specialist relationship management.
• Perform all other duties as assigned.
• 100% on-site work at the care center; may move between clinics.

Skills

Interpersonal skills

BLS certification

Education

High school diploma or GED

Interest in furthering education/certification

EMR experience

Tools

Electronic Medical Records

Job description

About Prosano Health Solutions:

Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy . Our goal is to deliver affordable, convenient, and personalized care to the communities we serve. Our Advanced Primary Care model is focused on providing a signature patient experience which will raise the bar in both the delivery of care, and by ensuring health equity is top of mind. And, in every market we serve, we assure that a customized, high-value system of care is available for our members . Together, we will set the standard for how healthcare can and should be delivered in our State.

Why Join Our Team?

Here's the fun part. We are growing our team. The team will include people who share our passion and deep commitment to taking the primary care experience to a new level. Our team is unified in providing not only comprehensive care, but a truly exceptional patient experience, leaving our patients with the lasting impression of trust and compassion. We realize we can do great things by working together and adapting processes to provide the best possible care for people. Together, we will improve the health within our communities and make a difference in people's lives.

If you share this vision and desire to do something different...we look forward to talking to you!

For more information, please reach out to our Talent Acquisition team.

You Will:

The Clinical Care Guide will be a key contributor to our first-class care team at Prosano Health Solutions. They will deliver on our commitment to excellence to our patients and help us grow through their role. The Clinical Care Guide will have end to end responsibility for our specialist and diagnostic testing navigation, as well as in leading and partnering with the care team to support patients in their journey toward their best health. This position has an emphasis on customer/patient care excellence, privacy, compliance, and serving in a dynamic health setting.

The position is on site M-F at our care center and is located in Chandler/Gilbert area, AZ.

• Support members both in-person and virtually with real-time education, scheduling of specialist & diagnostic referral appointments, and follow-through + follow-up of those appointments
• Play a critical role in the achievement of improved health outcomes and cost savings
• Be an empathetic problem-solver and become the most visible partner to all patients
• Clarify and explain referral for specialist and diagnostic service recommendations
• Care for end to end process as needed, for referral or specialist services
• Participate in development and management of quality programs to include patient outreach to members in an effort to provide an elevated primary care experience with gaps in care or other clinical needs
• Support members with chronic conditions by providing education, reminders, and other support
• Lead service and schedule requests on member's behalf
• Inform and equip Care Team with referral information and requirements
• Assist in specialist relationship management
• Perform all other duties as assigned
• This position requires 100% on-site work at the care center location and may also involve movement between clinics as needed

Working hours may include extended hours.

You Have:

• Excellent interpersonal skills to include maintaining courteous, friendly and effective communications with patients, team members and external parties
• A Basic Life Saving (BLS) certification
• High school diploma or GED
• Interest in furthering education/certification
• Electronic Medical Records experience
• Customer service orientation and experience
• Strong communication skills across multiple modalities
• Highly collaborative
• Empathy and advocacy
• Exceptional organizing skills, detail-orientation
• Must be able to maintain confidentiality at all times
• Active AZ fingerprint clearance card

Preferred Qualifications:

• Clinical background: Registered Medical Assistant (RMA), Certified Nursing Assistant (CNA), etc.
• Proficiency with other health care related software platforms
• High degree of independence, flexibility, initiative, and commitment

Our Commitment

Prosano Health Solutions does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age,