• Provides clinical review support on an as-needed basis • Responsible for reviewing medical records for medical necessity, level of care, authorization compliance, and payer guideline alignment • Supports timely appeal submissions and inventory management while maintaining quality and compliance standards • Performs clinical reviews for medical necessity, level of care, and authorization-related denials • Reviews inpatient and outpatient medical records to support appeal submissions • Applies payer-specific guidelines and internal policies • Identifies documentation gaps and supports clear, defensible clinical narratives • Meets assigned turnaround times while maintaining quality standards • Documents review findings accurately in designated systems • Collaborates with clinical leadership as needed for escalations or complex cases

Role Description - Manage and maintain EHR systems, ensuring accuracy, organization, and usability - Build and optimize workflows, templates, and documentation structures within the EHR - Organize, tag, and structure historical medical records for easy access and analysis - Design and implement structured member journeys and touchpoints - Develop care plan templates, intake forms, and questionnaires - Translate complex healthcare data into structured, actionable workflows - Manage scheduling workflows within the EHR system - Ensure seamless coordination of appointments and member interactions - Leverage AI tools (preferably Claude) for process improvement, data structuring, and workflow efficiency - Organize and refine AI-generated clinical notes (e.g., AI scribe outputs) - Use AI to enhance operational efficiency not for creative tasks - Build standardized processes and clinical protocols - Maintain clear, structured documentation for all workflows - Continuously identify opportunities for system and process improvements - Conduct independent research to gather relevant local healthcare information - Support decision-making with accurate, data-driven insights Qualifications - 1-2 years of experience or background in clinical operations, care coordination, or healthcare administration - Experience in concierge, wellness, or high-touch healthcare environments - Familiarity with wearable health data integration - Strong communication skills. Clear, concise, and professional (client-facing readiness) - Proven experience managing EHR systems (non-billing focused) - Hands-on experience with EHR scheduling workflows - Process-driven mindset with the ability to explain workflows clearly - Experience using AI tools (Claude preferred) for structured, process-oriented tasks - Ability to organize and interpret healthcare data within systems - Experience creating templates, workflows, and structured documentation Requirements - Must be proficient in speaking and writing English very clearly - Must have relevant work experience - Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory] - Must be available for video meetings with your camera on (when needed) Technical Requirements - Device: Reliable laptop or desktop computer. - Internet: High-speed connection (minimum 15 Mbps). - Audio: Noise-canceling headset. - Video: Webcam for virtual meetings. - Workspace: Quiet, professional environment. Benefits - Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

About Us Would you like to be part of a fast-growing team that believes no one should have to succumb to viral cancer? Naveris, a biotech startup based near Boston, MA, is looking for a Patient Navigation Specialist team member to help us develop our next great product for patients at risk of developing viral cancers. Our flagship test, NavDx, is a breakthrough blood-based DNA test for HPV cancers, clinically proven and already trusted by hundreds of physicians and institutions across the U.S. Opportunity As a Patient Navigation Specialist, you will coordinate the logistics and communication needed to ensure successful sample collection and testing for patients enrolled in our surveillance program. This role focuses on direct patient support, scheduling mobile blood draws, and working closely with phlebotomy vendors and internal systems. Job Responsibilities Reporting to the Sr. Patient Navigation Operations Manager, you will be supporting patients and physicians as they order the NavDx blood test. Duties include: - Serve as the main point of contact for patients requiring mobile blood draws. - Coordinate scheduling between patients and mobile phlebotomy vendors. - Monitor and update case statuses in Salesforce to reflect current progress (e.g., kit shipped, appointment scheduled, sample received). - Reach out to patients to collect missing information or reschedule as needed. Provide exceptional service and guidance to patients throughout the testing process. - Escalate clinical questions or unusual case issues to the appropriate internal contact. - Maintain detailed and timely case notes in Salesforce. - Provide backup support to the Senior Patient Navigation Specialist when needed (e.g. inbox coverage, TRF routing, or special communications). - Adhere to all internal privacy and compliance policies, including HIPAA. Requirements - High school diploma or equivalent degree is required - Proficiency with SalesForce or a similar CRM platform. - Strong written and verbal communication skills - Highly organized with excellent attention to detail and time management skills. Comfortable working in a fast-paced environment and adapting to new tools and processes. - Previous experience in a client-facing, administrative, or operations support role. - Familiarity with tools or platforms that integrate with SalesForce. Compliance Responsibilities Health Insurance Portability and Accountability Act (HIPAA) is a federal law that describes the national standards to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge. All roles at Naveris require compliance with legal and regulatory requirements of HIPAA and acceptance and adherence to all policies and standards at Naveris. Personnel acknowledges they are personally responsible for reporting any suspected violations or abuse and are required to complete HIPAA training when joining the company. Why Naveris? In addition to our great team and advanced medical technology, we offer our employees competitive compensation, work/life balance, remote work opportunities, and more! Naveris is an Equal Opportunity Employer Naveris is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We don’t just accept differences - we celebrate and support them. We do not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor. Salary Range : $25-$27/Hour

Posting Date 03/26/2026 3201 S 323rd St, Federal Way, Washington, 98001-5023, United States of America DaVita Integrated Kidney Care (DaVita IKC) is an the integrated care division of DaVita Inc. working on DaVita’s vision to provide integrated care to all ESRD patients, who are some of the most medically complex and vulnerable patient populations in the US. Our more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month. We’ve proven that integrating care achieves the triple aim of improved patient quality of life, better outcomes and lower total cost of care. What sets DaVita IKC apart is that we not only provide great care management but we start with our heart with our patients and each other. We focus on creating both a great experience for our patients and a special place to work for our teammates. We’re on a mission to revolutionize kidney care, with a vision of making integrated care the standard of care for all renal patients. To help us achieve our vision, we’re investing extensively in developing both our model of care and our team. When you join DaVita IKC, you're joining a compassionate team committed to quality patient care. Through our commitment to training, growth and quality we consistently achieve superior clinical outcomes while giving teammates the opportunity to excel in an award-winning environment that enables them to thrive both professionally and personally. Are you a Nurse Practitioner ready to transform lives and make a real difference for patients with complex kidney conditions? DaVita IKC is looking for a passionate NP to join remotely our team in Washington, helping patients navigate a challenging healthcare system while receiving holistic, integrated care. Position Details: - REMOTE in Washington: work from home. This is currently a Remote position. However, we value in-person patient care and may transition to a hybrid-remote model in the future. - Clinical Care & Evaluation: The primary responsibility is completing Comprehensive Health Evaluations (CHEs) to assess and manage comorbid conditions while addressing medical, social, emotional, and financial needs. Reduce hospitalizations and improve patient outcomes. - Care Management & Disease Progression: Manage CKD and ESKD patients, focusing on slowing disease progression, reducing costs, and preventing readmissions. Utilize prescriptive authority, medication management, and diagnostic interpretation in collaboration with nephrologists and interdisciplinary teams. - Clinical Leadership: Lead the clinical team to ensure care coordination aligns with medical treatment plans and addresses both medical and psychosocial needs. - Schedule & Benefits: Monday–Friday, full-time, self-managed schedule with the ability to accommodate patient and nephrology partner availability—flexibility is key. No nights, weekends, or on-call. Competitive pay, excellent benefits, CEU/CME reimbursement, paid license renewals, and more. Requirements: - Passion for caring for patients with complex, chronic illnesses - Willingness to adapt as the program evolves - Minimum 2 years’ experience as a Nurse Practitioner (NP) - Current, unrestricted NP license in state of practice; DEA license or eligibility within 90 days - Current CPR/BLS certification - Valid driver’s license and insurance in the state - Intermediate computer skills (MS Word, Excel, Outlook) - Strong clinical judgment, autonomous decision-making, and expertise in managing complex comorbidities - Positive, solution-focused attitude, committed to improving patient and team outcomes - Home office, high-speed internet, and reliable transportation Preferred Qualifications: - 5+ years’ experience as a Family NP, Primary Care NP, or in Internal Medicine, Cardiology, Nephrology, or Endocrinology. - Experience in Value-Based Care or Population Health, including Medicare Advantage documentation and Health Risk Assessments - Experience managing population health with a focus on reducing hospitalizations - Prior experience with Cerner or similar EHR systems Here is what you can expect when you join our Village: A "community first, company second" culture based on Core Values that really matter. Clinical outcomes consistently ranked above the national average. Award-winning education and training across multiple career paths to help you reach your potential. Performance-based rewards based on stellar individual and team contributions. A comprehensive benefits package designed to enhance your health, your financial well-being and your future. Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation. Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen." Why wait? Explore a career with DaVita today. Go to http://careers.davita.com to learn more or apply. What We’ll Provide: More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings. - Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out - Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more - Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning. #LI-IP1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Salary Range for the role is $130,000.00 - $150,000.00 per year. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hour Washington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hourFor location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.