Care Navigator (Bilingual : Chinese)

Job Description

Job Description

Salary : $22 - $23 per hour

About US :

At POD Health, we are redefining healthcare by combining technology and personalized care to enhance patient outcomes. Our comprehensive servicesTelehealth, Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Community Health Initiatives (CHI)are designed to provide patients with the care they need, when they need it, no matter where they are.

Through our Telehealth and RPM services, we ensure that patients have real-time access to healthcare, empowering them to manage their health proactively and avoid unnecessary hospital visits. Our Chronic Care Management programs create tailored care plans for patients with chronic conditions, ensuring ongoing support between office visits. Additionally, our Community Health Initiatives focus on addressing health disparities, making care more accessible to underserved populations.

At POD Health, we strive to make healthcare personal, proactive, and accessible for all.

Position Title : Care Navigator

Reports To : Operations Manager

Job Summary : As a Care Navigator, you will guide patients through the enrollment and onboarding process for RPM, CCM, and CHI programs. Your role is crucial in helping patientsparticularly those in underserved communitiesaccess and benefit from these services. You will coordinate patient care,facilitatecommunication between healthcare providers and patients, verify insurance eligibility, andmaintainaccuratepatient records. By ensuringtimelyinterventions and follow-ups, you will contribute to improved patient outcomes and reduced hospital visits.

Key Responsibilities :

• Assistpatients in enrolling in RPM, CCM, and CHI programs,providingclear guidance throughout the process.
• Schedule and manage patient appointments, including enrollments, escalations, follow-ups, and healthcare visits such as M11q and DOH-type appointments.
• Collaborate with healthcare teams to ensure seamless coordination and delivery of care across RPM, CCM, and CHI programs.
• Ensureaccurateandtimelydata entry into EMR systems (e.g.,AdvancedMD) and other platforms, ensuring compliance with HIPAA regulations.
• Monitor and manage patient referrals, leads, and opportunities in Salesforce,maintainingaccuracy and following up as needed.
• Address patient inquiries and escalate concerns related to RPM, CCM, and CHI services toappropriate healthcareprofessionals.
• Proactively follow up with patients to ensure engagement with their care plans,maintainingregular communication with patients, caregivers, and providers.
• Conduct insurance eligibility checks via platforms such as e-PACES, verifying coverage for RPM, CCM, and CHI services.
• Enhance provider efficiency by performing pre-appointment cross-checks inChronicCareIQ(CCIQ) and HHA Exchange, ensuring patient charts are verified, updated, or entered accurately.
• Maintain effective, professional communication with patients and team members through phone, email, and other correspondence, fostering a supportive and welcoming patient experience.
• Oversee device ordering and setup for RPM, ensuring patients receive and understand how to use their devices for effective monitoring.

Requirements :

POD Healthprovidesequal employment opportunities to all employees and applicants for employment without regard to race, religion, color, ethnic origin, gender, gender identity, age, marital status, veteran status, sexual orientation, disability, or any other basis prohibited by applicable federal, state, or local law.