Jobs in the United States

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Added 1 min ago
Area Director of Facilities ("Director de Area de Operaciones")
Azul Hospitality
Detroit, MI
Establish performance standards, conduct evaluations, and provide ongoing coaching and professional development
Added 1 min ago
Security Officer Supervisor- Aiken SC
Marksman Security LLC
Aiken, SC
Must possess a Alabama Security Unarmed license or ability to obtain
Added 1 min ago
Makerspace Supervisor
La Porte County Public Library
La Porte, IN
Provide technical expertise on the use of tools, equipment, and software.
Added 1 min ago
CC
FT Art Studio Manager
Cochise College
Sierra Vista, AZ
- $27.84 to $31.73 USD / hour
Position Summary: The Art Studio Manager is responsible for overseeing the operation and supervision of art studios throughout the district, ensuring compliance with the chemical safety…
Added 3 mins ago
AR/Billing Clerk (Internal Applicants Only)
CRH
St George, UT
Must have excellent customer service skills
Added 4 mins ago
Assistant Unit Director Neuro TCU
UCSF
San Francisco, CA · CA
…responsibility for the unit in delegated areas and in the absence of the…
Added 5 mins ago
Information Security Analyst II
Global Payment Holding Company
COLUMBUS, GA
Participates in creating cost effective solutions for system/application development regarding Information Security processes and concepts in applicable systems and software.
Added 5 mins ago
HD
Field Training Manager
Hot Dog on a Stick
Ontario, CA · Glendale, CA · Cerritos, CA · Santa Monica, CA · Santa Maria, CA · Carson, CA · Thousand Oaks, CA · Henderson, NV
- $70,000 to $75,000 USD / year
The Field Training Manager is a dedicated, field-based training and development professional responsible for strengthening operational capability and leadership effectiveness across Hot Dog…
Added 5 mins ago
Senior Manager Technical Product Management
Johnson & Johnson Services Inc. Legal Entity
Horsham, PA · New Brunswick, NJ · Raritan, NJ
As the Sr. Manager Technical Product Management, you will be directing a team of Technical Product Owners to drive strategy and execution for critically important products in the Master…
Added 6 mins ago
KI
Project Manager - US Gov
Kaseware, Inc.
Denver, CO
- $100,000 to $130,000 USD / year
Solid technical background, with understanding or hands-on experience in software development and web technologies
Added 6 mins ago
Supervisor Gas Control (Anchorage)
ENSTAR Natural Gas Company
Anchorage, AK
Under the direction of the Senior Manager Pipelines, supports the Engineering Department with long and short term resource and strategy planning, project development, cost-benefit analysis,…
Added 6 mins ago
Senior Cost Manager / Quantity Surveyor - Data Center Construction
Turner & Townsend
Petersburg, VA
To be successful in this role you must have excellent communication skills and be comfortable operating in a client-facing environment
Added 6 mins ago
Senior Cost Manager / Quantity Surveyor - Data Center Construction
Turner & Townsend
Chester, VA
To be successful in this role you must have excellent communication skills and be comfortable operating in a client-facing environment
Added 6 mins ago
Senior Cost Manager / Quantity Surveyor - Data Center Construction
Turner & Townsend
Midlothian, VA
To be successful in this role you must have excellent communication skills and be comfortable operating in a client-facing environment
Added 8 mins ago
K
Cybersecurity Engineer IV
Kforce
Birmingham, AL
- $80 to $90 USD / hour
This role sits at the intersection of AWS cloud engineering, cybersecurity, application infrastructure, networking, and software development. The organization is continuing to move…
Added 8 mins ago
Embedded Software Engineer – Avionics Displays (C++)
Aerospace
Phoenix, AZ
YOU MUST HAVE
Added 9 mins ago
SI
Senior Manager, Sales
Salesforce, Inc.
CA
- $154,050 to $226,600 USD / year
…required. You will be responsible for ongoing mentoring and development of the sales team which includes recruiting, hiring and training new team members on sales process. In this role you…
Added 9 mins ago
Lead Generator Project Engineer-1
GE Gas Turbines (Greenville) L.L.C.
United States
…position reports to the Project Engineering Leader (Americas) - Manager of Gas Turbine and…
Added 9 mins ago
Lead Generator Project Engineer-2
GE Gas Turbines (Greenville) L.L.C.
United States
…position reports to the Project Engineering Leader (Americas) - Manager of Gas Turbine and…
Added 9 mins ago
Lead I&C System Engineer
GE Vernova Hitachi Nuclear Energy Americas LLC
United States
…for designing and implementing I&C electronic hardware and software for I&C systems for Nuclear Power Plants. The I&C System team has strong interfaces with electronic hardware design and…
Added 9 mins ago
DoD Regional Sales Manager - USAF and USSF
Hewlett Packard Enterprise
All, DC · All, MA · All, OH · All, NE · All, CO · All, CA
HPE Networking is seeking an experienced and results-oriented Regional Sales Manager (RSM) to lead a team of seven Territory Managers supporting strategic U.S. Air Force and U.S. Space…
Added 9 mins ago
Engineering Technician I
Airxcel Inc
Frederick, CO
…that supports engineering, manufacturing, quality, product development, technical service, and facility operations. Reporting to the Engineering Manager, this position turns engineering…
Added 9 mins ago
Communications Manager
Oregon Health & Science University
Portland, OR
The Communications Manager develops and executes strategic internal and external communications that engage key audiences and advance awareness of the Knight Cancer Institute’s brand,…
Added 11 mins ago
BH
Senior Appeals & Denials Resolution Manager
Big Health
Remote, United States
- $120,000 to $140,000 USD / year
Big Health is seeking an experienced, results-driven Senior Appeals & Denials Resolution Manager to establish and lead payer appeals and denial resolution operations. This role will…
Added 12 mins ago
Client Executive
Marsh
Walnut Creek, CA
Participate in new business development and proposals with Client Sales Executive.

Closed listing

Patient Navigator-2

Miami, FL, United States

$18.5 - $26.45 HourlyThe posted pay range represents the base hourly rate or base annual full-time salary for this position.

This opening has closed.

The original listing is kept below for reference.

Find open jobs More jobs with this employer

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Job details

Pay: $18.5 - $26.45 HourlyThe posted pay range represents the base hourly rate or base annual full-time salary for this position.
Posting language: English
Posted: Nov 10, 2026

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Original job description

Archived listing. The details below describe a past opening.

We’re unique. You should be, too.

We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Patient Navigator I (Tier 1) is a non-clinical, patient-facing role responsible for the first-touch handling of the tickets across Patient Navigation's three Phase 1 workstreams: Non-CPL (Coordinated Provider List) /Out-of-Network Requests, Care Plan Non-Adherence, and Voluntary PCP Switches. Operating within a centralized, 100%-recorded and monitored call center model, the Patient Navigator I engages patients directly by phone to understand their request, explain relevant options, and either resolve the ticket directly or route it to the appropriate next step - including escalation to a Tier 2 resource to support when appropriate (Supervisor, Clinical Leadership, or Network Leadership) This role is the primary voice of this role is for most patient interactions and is expected to combine strong interpersonal and persuasive skills with rigorous documentation discipline, given the compliance-sensitive nature of the function. The Patient Navigator I does not make clinical determinations, does not perform utilization management decisions, and does not apply retention pressure to patients requesting a PCP change - CMS treats PCP selection as a protected member right, and this role is expected to process such requests without friction. Above all, this role serves to ensure that patients fully understand how ChenMed’s model for simplifying complex care through the development of personalized care plans, using in-house specialty care, and working within our trusted coordinated provider ecosystem delivers more good days.ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

Fields inbound and outbound tickets across the three in-scope workstreams (Non-CPL (Coordinated Provider List)/Out-of-Network Requests, Care Plan Non-Adherence, and Voluntary PCP Switches) via the centralized, 100%-recorded intake queue, sourced from Careline & Field-Initiated Tickets, Patient-Initiated Appeals for Clinical Review, and Non-CPL/Out-of-House Requests channels.
For Non-CPL/Out-of-Network Requests: engages patients who want to use a provider outside the CPL, explains available in-network/CPL-coordinated options, and encourages use of those options through positive, informative conversation - without denying, authorizing, or influencing any coverage or network-exception determination, which remains the responsibility of formal Utilization Management.
For Care Plan Non-Adherence: conducts first-touch outreach to patients flagged as unable or unwilling to follow a recommended care plan, using supportive, empathetic communication to understand and address straightforward barriers; escalates any case involving a genuine clinical barrier, safety concern, or need for informed-refusal documentation to a Tier 2 RN/Licensed Social Worker rather than attempting to resolve it directly.
For Voluntary PCP Switches: processes patient requests to change their assigned PCP promptly, completely, and without applying any retention pressure or persuasion; ensures attribution changes, record transfers, and required documentation are initiated accurately and within required timeframes.
Documents every case in the centralized case-management system to the standard required for CMS delegation-oversight audits, including outreach attempts, call content, outcome, and any escalation - documentation quality is treated as a core job function, not an afterthought.
Recognizes when a ticket falls outside Tier 1 scope or outside the three in-scope workstreams entirely (e.g., unreachable-patient cases, complex clinical needs, roster/eligibility hygiene, or a disruptive-behavior report) and routes it to the correct owning team rather than attempting to resolve it.
Maintains a consistently professional, composed, and empathetic tone on 100% recorded and monitored calls, understanding that call quality is subject to ongoing QA review.
Meets individual productivity and quality standards for call volume, average handle time, and documentation completeness as defined by the Manager, Patient Navigation.
Participates in ongoing training on CMS compliance topics relevant to the role (non-discrimination, member-choice protections, confidentiality) and on script/process updates.
Performs other duties as assigned and modified at manager's discretion.

KNOWLEDGE, SKILLS AND ABILITIES:

Demonstrated success in persuasion, influence, and customer service, ideally within a healthcare, health plan, or member-services environment.
Ability to engage patients empathetically while strictly adhering to compliance guardrails - including never pressuring a patient who wants to leave the practice, and never offering a clinical opinion outside the scope of the role.
Strong active-listening and de-escalation skills; ability to remain calm and professional with frustrated or distressed callers.
Meticulous documentation habits and comfort working in a fully recorded, closely audited call environment.
Sound judgment in recognizing when a case requires escalation, rather than attempting to resolve it independently.
Basic understanding of Medicare Advantage concepts (PCP attribution, coordinated/in-network provider lists) preferred; willingness and ability to learn required.
Understands and is committed to maintaining the highest level of confidentiality (HIPAA).
Excellent verbal communication skills; clear, professional phone presence.
Proficient in Microsoft Office and standard case-management/CRM software; ability to type and document accurately while on an active call.
Ability to work effectively independently and as part of a team in a fast-paced, metrics-driven environment.
Spoken and written fluency in English required; bilingual proficiency (Spanish or another language relevant to the patient population) a plus.

EDUCATION AND EXPERIENCE CRITERIA:

High school diploma or equivalent required; Associate's degree or relevant certification preferred.
Minimum one to two (1-2) years of experience in a customer service, call center, or patient-facing administrative healthcare role.
Prior experience in a Medicare Advantage, managed care, or medical office setting preferred.
Experience with CRM or case-management software preferred.

PAY RANGE:

$18.5 - $26.45 HourlyThe posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

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Jobs in the United States