Job Closed

This listing is no longer active.

Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Care Navigator

Customer AdvocateCustomer SuccessOtherRemoteMid LevelTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

108 days ago

Salary

$23 - $39 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Care Navigator

Centene Corporation

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING IL HEALTH PLAN MEDICAID. APPLICANTS MUST RESIDE IN THE STATE OF ILLINOIS. BACHELOR’S DEGREE IN HEALTH CARE FIELD STRONGLY PREFERRED. WORK SCHEDULE IS MONDAY – FRIDAY 8AM – 4:30PM. Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination. - Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome - Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care - Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans - Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner - May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate - Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators - May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate - May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits - Other duties or responsibilities as assigned by people leader to meet the member and/or business needs - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. License/Certification: - Current state’s clinical license preferred Pay Range: $22.94 - $38.79 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Related Job Pages

More Customer Advocate Jobs

Lisa Russel logo

Virtual Union Policy Advocate

Lisa Russel

Since 1951, AO has proudly served working-class families by providing life, accident, and supplemental health products to members of labor unions, credit unions, associations, and their families. Our success is built on trust, service, and long-term relationships—and we continue to grow with purpose. Over 20% growth last year, even during challenging economic conditions Stability and long-term demand Serve clients across the U.S. and Canada

Customer Advocate108 days ago

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This fully remote opportunity allows you to work from anywhere while building a meaningful career in insurance and client services. You’ll help individuals and families protect what matters most—while managing your schedule and growth on your own terms. - Remote Work Flexibility: Work from anywhere with a schedule designed to support work-life balance. - Comprehensive Training & Support: Receive in-depth training on life insurance products, regulations, and best practices—no prior insurance experience required. - High-Quality Leads Provided: Focus on client conversations and solutions. All leads are pre-qualified and provided at no cost. - Career Advancement Opportunities: Grow within a well-established Fortune 500 organization with clear pathways for advancement and leadership development. - Supportive Team Environment: Benefit from mentorship, ongoing professional development, and a collaborative team culture focused on success. Key Responsibilities - Client Engagement: Connect with individuals who have requested information to understand their insurance needs and goals. - Education & Guidance: Explain policy options, benefits, and coverage clearly to help clients make informed decisions. - Quote & Solution Presentation: Prepare and present customized insurance solutions in a professional and easy-to-understand manner. - Relationship Building: Develop long-term client relationships to ensure satisfaction, trust, and retention. - Sales & Activity Tracking: Accurately document client interactions, sales activity, and follow-up actions. - Industry Awareness: Stay current on product updates, industry trends, and competitive offerings. Qualifications - Strong verbal and written communication skills - Ability to explain complex topics in a simple, relatable way - Self-motivated, goal-oriented mindset - Comfort building relationships and guiding clients through decisions - Willingness to learn insurance products and compliance requirements (training provided) Ready to Take the Next Step? If you’re excited to make a real difference while building a flexible, remote career with long-term potential, we’d love to hear from you. Apply today and start growing with a company committed to protecting families and supporting your success.

United States
Job Closed
OtherRemoteTeam 1-10H1B No Sponsor

Patient Navigator Who We Are Immersiv is a new medical infusion clinic company that is designed to enhance both the providers’ and patients’ experiences as they navigate through the healthcare system. Healthcare today is disjointed, confusing, and transactional. We see the opportunity to treat our infusion clinics as something more than just a place for patients to receive their medication. Immersiv will also offer access to vaccines, outcomes assessments, and so much more. In addition, we empower our clinicians to promote conversations about patients’ concerns, action on prescriptive opportunities, and provide elite medical care overall. About This Role The Patient Navigator works closely with referring providers, patients, and payors to on-board patients to service as timely and seamlessly as possible. They help ensure patients are qualified for service and coordinate initiation and on-going treatment with all parties involved. What You’ll Do - Process new patient referrals, entering patient demographic, payor, and billing information timely and accurately. - Communicate with various payors, referral sources, patients and representatives regarding: - Documentation to support medical necessity, payor coverage, and appeals - Financial assistance eligibility and enrollment - Payment plans for patient financial responsibility - Pharmaceutical/Manufacturer hub services and enrollment - Verify eligibility and benefits accurately and in a timely manner in accordance with company policies. - Obtain initial authorizations following company policy and maintain active authorization on all patients as appropriate. - Ensure thorough documentation of all coordination and all necessary documentation for billing is in the patient’s record. - Schedule patient visits according to established procedures. - Obtain patient orders, office visit notes, diagnostic and lab results from outside provider offices. - Comply with payor medical policy, FDA guidelines, and CMS billing and coding guidelines. - Process all required paperwork according to established procedures while ensuring data integrity. - Update knowledge and skills by attending in-service programs throughout the year. - Answer telephone calls and emails in a professional and timely manner. - Other related duties as assigned. Requirements - High school diploma or equivalent - Minimum of two years’ experience in patient intake, revenue operations, billing, insurance case management or clinical setting in a healthcare facility - Must possess a strong work ethic and team mentality, with excellent interpersonal skills for interacting with patients, providers, and coworkers. Preferred Experiences - Prior experience with ambulatory infusion center software or EMR - Prior experience within a specialty pharmacy setting What We Offer We offer a competitive compensation + commission package in addition to a benefits package (medical, dental, and vision insurance, 401k). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills, and experience.

United States
Geeks on Site logo

Customer Loyalty Specialist

Geeks on Site

Geeks on Site is dedicated to providing quality computer repair & support services for homes & businesses nationwide.

Customer Advocate108 days ago
ContractRemoteTeam 201-500Since 2002H1B No Sponsor

Role Description The Customer Loyalty Specialist is responsible for proactively managing and strengthening relationships with Geeks for Life subscribers. This role focuses on engagement, retention, and lifetime value growth by ensuring subscribers feel supported, heard, and continuously aware of the value of their membership. This is not a reactive support role — this position acts as a relationship manager for our subscription base, driving proactive communication, satisfaction, and renewal. Key Responsibilities - Relationship Management - Build and maintain strong relationships with Geeks for Life subscribers. - Conduct proactive outreach calls and follow-ups to ensure customer satisfaction. - Act as the primary point of contact for subscription-related questions. - Monitor subscriber activity and engagement trends. - Retention & Loyalty - Identify at-risk subscribers and implement recovery strategies. - Reinforce membership value and educate customers on included benefits. - Drive renewals and reduce churn. - Promote additional relevant services when appropriate. - Customer Experience - Handle escalations with professionalism and empathy. - Gather customer feedback and identify improvement opportunities. - Ensure high NPS and CSAT scores within the subscriber base. - Reporting & Performance - Track churn rate, renewal rate, subscriber engagement metrics. - Document customer interactions in CRM. - Collaborate with Dispatch, QA, and Sales to improve subscriber experience. Qualifications - 2+ years in customer retention, loyalty, or account management. - Strong relationship-building and communication skills. - Comfortable with proactive outbound calls. - Experience working with subscription-based services preferred. - Ability to analyze trends and identify churn risks. - CRM experience required. - English fluency (spoken and written).

Guatemala
Job Closed
Health Catalyst logo

Client Advocate Specialist

Health Catalyst

Our mission is to be the catalyst for massive, measurable, data-informed healthcare improvement.

Customer Advocate108 days ago
OtherRemoteTeam 1,001-5,000Since 2008H1B Sponsor

• Provide first line of support for client questions and issues. • Assist in issues pertaining to the use of the software. • Engage with clients to better understand changing needs and priorities, in turn to help prioritize new features and services. • Develop and maintain client relationships; proactively engage with clients in designated territory to understand their utilization, changing needs, broader circumstance around registry engagement with the cancer center administration with the goal of engaging with Registry Team leaders, Cancer Center leaders or Oncology Service Line leaders. • Coordinate implementation efforts with new clients to include building the plan, training and set up • Engage with regional state associations with the objective of establishing leadership credentials. • Attend regional state and national conferences as needed. • Maintain knowledge of state and national standards • Assist and coordinate with the Manager of Education to provide ongoing education and training for existing clients. • Assist the Director, Growth with new prospects in the designated region, which may include software demonstrations on line or on site • Periodically, support continuing Product Management and enhancement efforts • Periodically, support Software quality and testing efforts as needed. • Become the Subject Matter Expert in one key area that will support the company’s objectives.

United States
Job Closed