Patient Care Navigator

COPE Health Solutions; Los Angeles (CA); On-site; USD 45,000 - 58,000; Full time

Benefits offered by this job

Comprehensive health insurance plans

Yearly wellness stipend

Paid parental leave program

Job summary

COPE Health Solutions in Los Angeles is seeking a Patient Care Navigator to act as a primary point of contact for patients, coordinating appointments, telehealth services, and care delivery. The ideal candidate will have experience in care coordination and knowledge of EMR systems.

The role offers a hybrid work model and various benefits, including health insurance and wellness stipends.

Qualifications

• Minimum two years of experience in a medical office or healthcare role.
• Experience with referral management and prior authorizations preferred.
• Familiarity with telehealth care delivery models.

Responsibilities

• Primary point of contact for patients and caregivers.
• Coordinates referrals, appointments, and follow-ups.
• Maintains accurate documentation within the EMR.

Skills

Customer service and patient engagement

Organizational skills

Bilingual English/Spanish

Interpersonal skills

Education

High school diploma or equivalent

Associate degree or healthcare-related certification

Tools

Electronic Medical Record (EMR) systems

Job description

Position Overview

Operating within a hub-and-spoke care model, the Patient Care Navigator serves as a primary point of contact for patients and supports care delivery through telephonic outreach, appointment coordination, preventive care engagement, and care gap closure activities. Working closely with the Medical Director, Advanced Practice Provider (APP), Registered Nurse (RN), Pharmacist, Community Health Workers (CHWs), and specialty providers, the Patient Care Navigator helps patients navigate the healthcare system, access needed services, and remain engaged in their care plans. This role supports Annual Wellness Visit (AWV) completion, chronic disease management, referral coordination, specialty access, and achievement of value-based care performance goals.

Job Details

FLSA Status: Non-Exempt

Salary Range: $45,000-$58,000

Reports To: Administrator / Practice Manager

Direct Reports: None

Location: Hybrid in LA Office

Travel: Up to 30%

Work Type: Regular

Schedule: Full Time

Responsibilities

• Serves as a primary point of contact for patients, caregivers, and community partners.
• Schedules telehealth and in‑person appointments with physicians, APPs, pharmacists, specialists, and other care team members.
• Conducts patient intake, registration, insurance verification, and demographic updates.
• Coordinates referrals, specialty appointments, diagnostic testing, and follow‑up services.
• Assists with prior authorization requests and tracks authorization status.
• Performs outreach to schedule Annual Wellness Visits (AWVs), preventive screenings, chronic care follow‑up appointments, and quality gap closure initiatives.
• Monitors appointment adherence and conducts outreach to reduce no‑shows and missed visits.
• Supports patient onboarding and education regarding telehealth technology and practice workflows.
• Coordinates communication among providers, Community Health Workers, pharmacists, nurses, and external healthcare organizations.
• Receives patient inquiries and escalates clinical concerns to licensed clinical staff in accordance with organizational protocols.
• Supports care transitions following hospitalizations, emergency department visits, and specialty care encounters.
• Maintains accurate and timely documentation within the Electronic Medical Record (EMR) and other designated systems.
• Participates in interdisciplinary care team meetings and population health initiatives.
• Supports achievement of organizational goals related to access, patient experience, quality performance, and value‑based care outcomes.

Qualifications

• High school diploma or equivalent required.
• Associate degree or healthcare‑related certification preferred.
• Minimum two (2) years of experience in a medical office, physician practice, care coordination, scheduling, referral management, or healthcare customer service role preferred.
• Experience supporting Medicare Advantage, managed care, primary care, or value‑based care programs preferred.
• Experience with referral management, prior authorizations, and appointment scheduling preferred.
• Experience using Electronic Medical Record (EMR) systems required.
• Bilingual English/Spanish preferred.

Working Knowledge Required

• Medical office operations and patient scheduling workflows.
• Medicare Advantage and commercial payer programs.
• Referral management and prior authorization processes.
• Customer service and patient engagement principles.
• Telehealth care delivery models.
• Electronic Medical Record (EMR) systems and healthcare technology platforms.

Examples of Competencies

• Strong customer service and patient engagement skills.
• Excellent organizational and follow‑up abilities.
• Ability to manage multiple priorities in a fast‑paced healthcare environment.
• Strong communication and interpersonal skills.
• Attention to detail and documentation accuracy.
• Ability to work collaboratively within interdisciplinary care teams.
• Professionalism, accountability, and problem‑solving capabilities.
• Commitment to patient‑centered service and operational excellence.

Benefits

As a firm passionate about health care, we’re deeply committed to the health and wellness of our team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness‑related activities, and a paid parental leave program.