This page tracks remote navigator openings that are location-eligible for California.
Open jobs
6
Hiring companies this week
2
Salary sample
$21 - $90,000
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6 Jobs
6 Companies
Leidos is an innovation company rapidly addressing the world’s most vexing challenges in national security and health.
• Provide comprehensive wrap-around follow-up support to participants via phone, chat, and email to ensure timely access to resources and services. • Coordinate non-medical counseling appointments by liaising with network providers and ensuring participants secure timely connections to care. • Serve as a liaison between internal departments, external resources, and network providers to facilitate seamless service delivery. • Respond to participant inquiries in a 24/7 Call Center environment, ensuring high levels of customer satisfaction and appropriate resource linkages. • Navigate available resources to resolve participant concerns and provide accurate information and administrative support. • Gather participant feedback and assess satisfaction to support continuous service improvement. • Document all participant interactions, activities, and case updates accurately within the electronic case management system. • Assist participants with documentation and translation requests as needed. • Perform additional duties and special projects as assigned based on business needs.
Role Description Responsible for serving as front-line support by scheduling complex and specialized procedures and coordinating multiple resources for patient services. Supports the daily operation of referral workflows by: - Working work queues - Verifying clinical documents have been shared - Collecting and verifying patient registration and insurance information - Processing provider referrals and orders in accordance with health system protocols and mandated insurance guidelines Provides professional telephone and customer support and communicates effectively with patients, providers, and internal teams to promote timely, patient-centered access to care. Qualifications - Education: H.S. Diploma or General Education Degree (GED) Required - Work Experience: - 3 years of related customer-facing healthcare experience with at least one (1) year scheduling or preregistering patients. Required - Operational experience with scheduling and referrals management in the oncology setting; above average data entry skills. Preferred - Epic scheduling experience Preferred - Previous exposure to electronic medical record systems and the ability to acquire a working knowledge of Epic and other systems as needed - Licenses and Certifications: None Required Company Description Business Unit: Company Name Piedmont Healthcare Corporate
• Responsible for guiding individuals with developmental disabilities, and their families, through a new California Policy called Self Determination • Lead people through a person-centered planning process • Develop person-centered plans • Guide them through a budgeting process • Advocate for them with Regional Centers • Assist customers with finding tailored support services, community supports, activities, and direct support staff
To bring equity, hope and healing to those who need it most. To make a world of difference, one member at a time.
• Engaging daily with clients and teammates to build and sustain positive relationships • Monitoring device readings and managing inbound calls • Assessing patient alerts and determining response requirements • Entering patient information into appropriate systems • Explaining products or services and answering client questions • Assisting with enrollment of new clients and supporting existing clients • Troubleshooting devices and reporting malfunctions • Participating in other projects or duties as assigned
Empowering nephrologists to transform kidney care and improve patient outcomes
• The CKD RN Navigator is responsible for providing care coordination, education, and support to patients with chronic kidney disease (CKD) across various stages of the disease. • This role serves as a liaison between patients, families, nephrologists, primary care providers, and the interdisciplinary healthcare team to optimize patient outcomes, promote self-management, and ensure seamless transitions of care. • Leveraging an integrated technology platform, you are complemented by an entire interdisciplinary team including Nurse Practitioners, Nurse Care Managers, Care Coordinators, RN Educator, Dietitians, Pharmacists, Licensed Clinical Social Workers, and Psychiatrists. • You will take the lead on identifying care gaps and navigating the patient through their CKD to ESKD journey in collaboration with a Care Coordinator, RN Educator, and the primary Nephrologist. • You will play an essential role in helping patients achieve their goals through timely and proactive care planning toward a planned outpatient dialysis start with a permanent access or a care pathway of the patient’s choice driven by patient education and care team support.
Big Leap Health empowers clinics that offers interventional psychiatry services to see more patients.
• Own escalations end‑to‑end: Lead resolution of complex PAs, denials, step therapy overrides, tier exceptions, continuation‑of‑therapy, and reauthorization timelines to keep treatment on schedule. • Navigate benefits expertly: Determine the correct coverage path across medical vs. pharmacy benefits, formulary status, HCPCS/CPT coding, site‑of‑care, and specialty classification; advise partners on buy‑and‑bill vs. pharmacy fulfillment. • Direct payer/PBM advocacy: Conduct targeted outreach to plans and PBMs to expedite decisions, correct errors, and secure patient access; prepare and submit clinical criteria summaries and appeals packets as needed. • Clinic and provider support: Interface with clinicians and partner staff to identify missing documentation, clarify criteria, and align on next steps; coordinate with pharmacies for shipment, copay confirmation, and consent. • Documentation and systems: Maintain precise status, outcomes, and next steps in EHR/CRM/Airtable; ensure audit‑ready records across all cases. • Quality and mentorship: Coach BPO team members, perform case QA, and contribute to SOPs, checklists, and templates. • Insights and improvement: Track payer behavior and bottlenecks, propose fixes, and partner with leadership on process and tooling improvements.
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