Medical Assistant - Care Navigator

ProviDRs Care; Wichita (KS); On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Paid time off

Paid holidays

Company-sponsored benefits

Job summary

ProviDRs Care in Wichita, KS is hiring a Medical Assistant – Care Navigator to join the Integrated Health Management team. This full-time on-site role supports member navigation, outreach, and care coordination within a health plan environment.

You will work with RN Case Managers, Utilization Review Nurses, and network staff to improve member access to services, coordinate DME, and report on program activity. Strong communication and organizational skills are essential.

Qualifications

• High school diploma or equivalent required.
• Completion of a Medical Assistant training program.
• Knowledge of basic medical terminology.

Responsibilities

• Assist with member outreach and care coordination.
• Gather demographic, medical, and provider information for RN Case Manager.
• Educate members about the Case Management program and resources.
• Coordinate follow-up with RN Case Manager and providers.
• Support care coordination and data collection across programs.
• Identify barriers to care and escalate as needed.

Skills

Member-focused

Outbound calls

Organized

Prioritization

Healthcare data

Professional communication

Escalation to nurse

Education

High school diploma

Medical Assistant training

Medical terminology knowledge

Tools

Healthcare software

EHR systems

Job description

Wichita, United States | Posted on 09/15/2026

• Salary Competitive exempt salary based on experience, education, and qualifications.
• State/Province Kansas
• Country United States

Job Description

MedicalAssistant – Care Navigator

Department: Integrated Health Management Employment Type: Full-Time Schedule: Monday–Friday, Day Shift hours may vary Work Location: On-Site – Wichita, Kansas Reports To: Integrated Health Management Supervisor FLSA Status: Non-Exempt/Hourly

PositionSummary

Weare seeking a motivated and highly organized Medical Assistant – CareNavigator to join our Integrated Health Management team.

Thisis a unique opportunity for a Medical Assistant who wants to expand beyond thetraditional clinic setting and work within the health plan and care managementenvironment. Our Care Navigators help members understand and accesstheirhealthcare resources while working closely with RN Case Managers, UtilizationReview Nurses, Customer Service, Network Operations, healthcare providers, andother internal and external partners.

TheCare Navigator assists with member outreach, care coordination, Centers ofValue placement, provider steerage, Case Management intake, utilization reviewsupport, population health data review, medical record retrieval, DMEcoordination, and employer-group reporting.

Thisposition works within a collaborative department led by a Supervisor, Manager,and Director of Integrated Health Management.

WhatYou'll Do

MemberCare Navigation

• Helpmembers navigate healthcare services, providers, facilities, and availablehealth plan resources.
• Assistmembers in locating appropriate in-network and cost-effective providersand facilities.
• Coordinateplacement of eligible members at designated Centers of Value (COV) for certain procedures and services.
• Performprovider and facility steerage according to established health plan andnetwork guidelines.
• Helpidentify and resolve barriers that may prevent members from accessingappropriate healthcare services.
• Assistmembers with obtaining durable medical equipment (DME), supplies, andother healthcare resources.
• Conductoutbound member outreach and follow-up calls.
• Provideongoing follow-up to designated low-risk members according to establishedprotocols.

CaseManagement Support

• Completeinitial intake calls for members enrolling in Case Management.
• Gatherdemographic, medical, medication, provider, social, and other informationneeded by the RN Case Manager.
• Educatemembers about the Case Management program and available resources.
• Coordinateor schedule follow-up with the RN Case Manager.
• AssistRN Case Managers with provider outreach, medical records, appointmentcoordination, and other care coordination activities.
• Identifychanges or concerns during member interactions and elevate them to an RNwhen appropriate.
• Monitordesignated precertification/prior authorization email inboxes andvoicemail queues.
• Routeincoming authorization requests and clinical documentation to theappropriate Utilization Review Nurse.
• Assistwith obtaining medical records and missing documentation needed forutilization review.
• Contactprovider offices and facilities regarding outstanding records oradministrative information.
• Trackpending requests and follow up on outstanding documentation.
• Recognizeurgent or time-sensitive requests and elevate them promptly to theappropriate UR Nurse.

PopulationHealth & Data Review

• Review Clinigence and other population health and utilization data toidentify members who may benefit from outreach or additional support.
• Reviewdesignated diagnosis, utilization, high-cost, and other trigger reports according to established criteria.
• Researchidentified members using available systems and determine the appropriateworkflow or referral based on established guidelines.
• Referpotentially high-risk, high-cost, or clinically complex members to theappropriate RN for review.
• Trackreferrals, outreach attempts, interventions, and outcomes.

Provider& Medical Record Coordination

• Requestmedical records and clinical documentation from physician offices,hospitals, facilities, and other healthcare providers.
• Followup on outstanding medical record requests.
• Coordinatewith providers and facilities regarding administrative and carecoordination needs.
• Routeclinical documentation to the appropriate RN or department for review.

EmployerGroup Reporting

• Assistwith preparing routine and ad hoc reports for self-funded employer healthplans.
• Compileand validate Care Navigation, Case Management, utilization, outreach,steerage, and program activity data.
• Assistwith departmental KPI and performance reporting.
• Researchdiscrepancies and help ensure information is accurate before reports arefinalized.
• Maintainconfidentiality of member and employer information.

Network& Customer Service Support

• Collaboratewith Network staff on provider research, member access issues, provideravailability, and steerage opportunities.
• Researchprovider participation and network status using available systems.
• Assistwith provider outreach and special network initiatives.
• SupportCustomer Service Representatives with questions related to CareNavigation, Case Management, Centers of Value, provider steerage, anddepartmental processes.
• AssistCustomer Service or Network Operations with additional duties duringperiods of increased volume or as business needs require.

SkillsThat Will Help You Succeed

We're lookingfor someone who is:

• Member-focusedand compassionate
• Comfortablemaking outbound telephone calls
• Organizedand detail-oriented
• Ableto manage competing priorities
• Comfortableworking with healthcare data and reports
• Confidentcommunicating with physician offices and healthcare facilities
• Ableto recognize when an issue needs to be escalated to a nurse
• Astrong problem-solver
• Dependableand accountable
• Comfortableworking independently and as part of an interdisciplinary team
• Interestedin learning how self-funded health plans, utilization management, casemanagement, and healthcare networks operate

Scope ofthe Care Navigator Role

TheCare Navigator provides member navigation, outreach, coordination, data review,and administrative support. Care Navigators do not independently make medicalnecessity determinations, adverse utilization review determinations, diagnoses,nursing assessments, or treatment recommendations.

Clinicalconcerns and decisions requiring licensed clinical judgment are escalated to anRN Case Manager, Utilization Review Nurse, or other appropriate licensedprofessional.

• Full-timeposition
• Mondaythrough Friday, Day shift hours may vary
• Primarilyoffice-based work
• Frequenttelephone and electronic communication with members, providers,facilities, and internal teams
• Regularuse of multiple healthcare and administrative systems
• Fast-pacedenvironment requiring effective prioritization and follow-through

Why JoinUs?

Thisposition offers Medical Assistants an opportunity to use their healthcareknowledge in a different way.

Insteadof working exclusively in a traditional physician office or clinical setting,you'll become part of a team that helps members navigate the healthcare system,identify appropriate resources, access quality care, and better understand theoptions available through their health plan.

You’llwork alongside experienced RN Case Managers and Utilization Review Nurses while gaining exposure to areas of healthcare that many Medical Assistants donot encounter in traditional clinical roles, including:

• Self-fundedemployer health plans
• CareManagement
• Populationhealth
• Healthcaredata and analytics
• Providernetworks
• Centersof Value
• Membersteerage and navigation

Thisrole is an excellent opportunity for a Medical Assistant who enjoys helpingpeople, solving problems, coordinating care, working with healthcare data, anddeveloping a broader understanding of how healthcare is delivered and financed.

Our IdealCandidate

Ourideal Care Navigator doesn't simply complete tasks—they take ownershipofhelping move a member's healthcare needs forward.

Youmay be a great fit if you're curious, resourceful, comfortable askingquestions, willing to make phone calls, able to follow through until an issueis resolved, and know when something needs to be escalated.

Requirements

RequiredQualifications

• Highschool diploma or equivalent.
  
• Completionof a Medical Assistant training program.
  
• Knowledgeof basic medical terminology.
  
• Strongcomputer skills and ability to learn multiple healthcare software systems.
  
• Excellentverbal and written communication skills.
  
• Strongorganizational skills and attention to detail.
  
• Abilityto manage multiple priorities in a fast-paced environment.
  
• Abilityto communicate professionally with members, healthcare providers, andinternal departments.
  
• Abilityto maintain confidentiality and appropriately handle protected healthinformation (PHI).
  

PreferredQualifications

• Certifiedor Registered Medical Assistant (CMA, RMA, CCMA, or equivalent). Atleast one year of healthcare experience.
• Previousexperience with patient/member outreach or care coordination.
• Experienceworking with health insurance, a health plan, TPA, provider network,population health, prior authorization, utilization management, or CaseManagement.
• Experiencerequesting and reviewing medical records.
• Experienceworking with healthcare data, reports, or electronic health informationsystems.

Compensation

Finalcompensation may be based on experience, education, certification, and otherjob-related qualifications.

Eligiblefull-time employees may receive a comprehensive benefits package that includes:

• Medicalinsurance
• Dentalinsurance
• Paidtime off (PTO)
• Paidholidays
• Additionalcompany-sponsored benefits and employee programs, as applicable

Specificbenefit eligibility, coverage, waiting periods, employer contributions, andplan provisions are governed by the applicable benefit plan documents andcompany policies.