Member Care Navigator — Health Plan Coordination

Planstin; Saint George (UT); On-site; USD 50,000 - 56,000; Full time

Benefits offered by this job

12 paid holidays plus 3 weeks of paid‑

Comprehensive insurance (health,Dental

Free Primestin Care Clinic membership

401k with 4% match

Free snacks and lunches onsite

Job summary

Planstin, located in Southern Utah, seeks a Care Coordinator to serve as a central contact for members’ healthcare needs, coordinating care and fostering strong provider relationships in a fast-paced environment.

You will guide patients through benefit navigation, arrange appointments, and coordinate referrals while supporting billing code collection and collaboration with the claims team. This role focuses on improving patient experience and access to care in St. George and beyond.

Qualifications

• Strong understanding of healthcare coordination principles.
• Excellent communication and interpersonal skills, with the ability to empathetically interact with members and providers.
• Strong organizational skills and attention to detail.
• Ability to manage multiple tasks and prioritize effectively in a dynamic environment.
• A proactive and problem-solving mindset.
• Experience with healthcare billing and provider relations is a plus.
• This position requires a proactive individual who is dedicated to enhancing the patient experience through effective coordination of care.

Responsibilities

• Coordinate in-person and urgent care appointments.
• Arrange lab work, imaging, and other necessary healthcare services.
• Assist members with navigating their Planstin and Primestin membership benefits.
• Manage healthcare referrals and coordinate follow-up care.
• Help members find the right healthcare resources and appropriate providers for virtual care, specialties, labs, and specific needs, even for those outside of St. George, Utah.
• Collaborate with members and providers to collect necessary billing codes for surgeries and major medical procedures, coordinating with our claims team for review and processing.

Skills

Healthcare coordination

Communication

Organization

Multitasking

Proactive problem-solving

Billing experience

Patient experience

Job description

Planstin, located in Southern Utah, seeks a Care Coordinator to serve as a central contact for members’ healthcare needs, coordinating care and fostering strong provider relationships in a fast-paced environment.

You will guide patients through benefit navigation, arrange appointments, and coordinate referrals while supporting billing code collection and collaboration with the claims team. This role focuses on improving patient experience and access to care in St. George and beyond.