Remote Bilingual Nurse Advocate & Care Navigator

Synergy-Healthcare-USA-LL; Greensboro (NC); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive pay

PTO

Paid holidays

Shorter Fridays

Job summary

Synergy Healthcare in Greensboro, NC is seeking a bi-lingual (Spanish) Nurse Advocate to guide members through healthcare and insurance systems. This full-time role supports remote work with occasional NC travel to visit clients, and emphasizes building trusted relationships with members and employer clients.

As a Nurse Advocate, you will resolve issues, help members understand treatment options, educate them on benefits, coordinate with providers and insurers, and document interactions in EHRs.

Qualifications

• Active nursing license with BSN preferred.
• Minimum of 3 years of experience as a nurse case manager or in a related healthcare field.
• CCM certification or CCM eligible. Commit to CCM exam within the first year.
• In-depth knowledge of the healthcare and insurance systems.
• Effective bilingual (Spanish) communication and interpersonal skills.
• Ability to work remotely, independently, and as part of a team in a fast-paced environment.
• Proficient in electronic health records (EHRs), Outlook, Excel, and related software.

Responsibilities

• Serve as the primary point of contact for members seeking assistance with navigating the healthcare system.
• Identify members' healthcare needs and provide clinical support.
• Liaison with TPAs and insurance companies to resolve claim and billing issues.
• Educate members on their healthcare benefits and how to effectively utilize them.
• Advocate for members to improve healthcare outcomes, including referrals to specialists.
• Collaborate with physicians and nurses to ensure seamless coordination of care.
• Monitor member health status and progress toward goals.
• Maintain accurate and up-to-date records of member interactions and interventions.
• Client-facing reporting with potential limited travel to client worksites.
• Health Risk Assessment reviews to encourage wellness.

Skills

Bilingual Spanish communication

Analytical and problem solving

Remote work capable

Strong organizational skills

Education

BSN preferred

CCM certification or CCM eligible

Tools

EHRs

Outlook

Excel

Job description

Synergy Healthcare in Greensboro, NC is seeking a bi-lingual (Spanish) Nurse Advocate to guide members through healthcare and insurance systems. This full-time role supports remote work with occasional NC travel to visit clients, and emphasizes building trusted relationships with members and employer clients.

As a Nurse Advocate, you will resolve issues, help members understand treatment options, educate them on benefits, coordinate with providers and insurers, and document interactions in EHRs.