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Centralized Care Navigator

Requisition Number 20-2009 Job Location Brentwood, Tennessee

Welcome to the new standard of healthcare! 

Premise Health is the world’s leading healthcare access provider. We deliver purpose-driven career experiences in a culture-centric work environment—ensuring that employees at the nation's best companies get, stay, and be well. In a changing healthcare environment, we know there's a better way for organizations to help their people live healthier lives by delivering the right care at the right time, right where they work. Partnered with visionary organizations around the globe, we offer a broad range of healthcare services and deliver an effortless patient experience that raises the bar, lowers costs, and redefines the meaning of quality care. By shifting the conversation from cost to return and from treatment to prevention, we are committed to help people, their families, and the organizations they work for be at their best.

We are looking for a Centralized Care Navigator to work remotely in support of our clients across the US. If you possess a “whatever it takes attitude” keep reading.

It’s hard to pinpoint a “typical” day here (and who wants typical anyway?), but the remote Care Navigator helps patients and their families traverse a complex healthcare system by interpreting and answering patient questions regarding care/benefit plans, health care management so patients can make informed decisions. The Navigator also conducts health center outreach.

What You'll Do For Us:

  • Care/Benefit Plans
    • Serves as the subject matter expert of clients’ benefits plan design and all partners that utilize it
    • Navigates client networks and providers and interpret information to patients and their families
    • Coordinates information flow of benefits between dental, medical and other healthcare providers within the medical community
    • Fosters communications and coordinates benefits with insurance companies with the goal of creating a smooth patient centered experience
    • Communicates and schedules appointments with specialists on behalf of members
  • Member Engagement
    • Conducts health center outreach
    • Collaborates with virtual team and onsite client teams to improve member engagement from goal planning through execution and after-action review.
  • Referral Management
    • Develop understanding of Epic's referral and scheduling capabilities, and available tools
    • Develop understanding of where member populations live and work, as well as high-value providers and facilities in key geographies
    • Proactively build relationships with community specialists, alongside other health center team members, to educate them on Premise and our expectations, facilitate streamlined referral access and information sharing
    • Interact with Premise providers to understand referral needs
    • Interact with members via multiple modalities (phone, email, video, etc) to identify appropriate referral target(s)
    • Work with community specialists and members to schedule appointments and ensure bi-directional notes transfer
    • Follow-up with member post-specialist visit, ensure member and specialist notes return to Premise, and coordinate ongoing care needs as appropriate
    • Remain in close coordination with central Connected Care+ team as we evolve our strategy, leveraging new tools and processes

Education:

  • Care/Benefit Plans and Member Engagement
    • Bachelor’s degree in a health-related field preferred, or equivalent experience.

Experience:

  • Member Engagement
    • 3+ years working in corporate wellness/health promotion or with health system logistics/scheduling

Knowledge and Skills:

  • Care/Benefit Plans
    • Ability to handle sensitive information confidentially
    • Ability to closely adhere to policies, practices and procedures
  • Member Engagement
    • Talking to others to convey information effectively
    • Ability to listen to and communicate information and ideas both verbally and in writing

What We’ll Do for You:

At Premise Health, you’re not an employee – you’re a team member. We have health centers, pharmacies, fitness centers and offices scattered across the country, but we’re all working together to deliver exemplary and delightful service to our clients, their employees and family members. We’re proud of the culture we’ve built, and we aim to assist our team members in living their best life – in and out of the workplace. That’s why you’ll find us taking a yoga class together or starting a book club. We know that we can only help people get, stay, and be well if we do the same for ourselves. We’re also not afraid to share what we’re up to – check out some of our smiling faces.

As an employer, we want to compensate you for the work you do with more than a paycheck (although you’ll get one of those too). Premise Health offers competitive benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, and a company-sponsored wellness program. We are an equal opportunity employer of nice people and value inclusion at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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