What are the responsibilities and job description for the Care Navigator - Pella IA position at VetJobs?
Job Description
ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
As a Full Time Care Navigator, you'll provide care to client employees and their dependents in our Health Center located in Pella, IA. The scheduled hours are M,T, W and F 8-5. TH 10-7
NOTE: This role will start in December 2025
What You'll Do
Works with the member, primary care provider, and other members of the care team to identify and prioritize member's health care needs
Develops understanding of and leverages Epic's referral and scheduling capabilities and other available tools
Documents all encounters and follow up plans in Epic
Develops understanding of where member populations live and work, as well as high-value providers and facilities in key geographies
Proactively builds relationships with community specialists, alongside other health center team members, to educate them on Premise Health and our expectations, and facilitates streamlined referral access and information sharing
Works in collaboration with Premise Health Primary Care team members and providers in the community including but not limited to: specialty medical services, behavioral health services, disease care management specialists, social workers, and community-based organizations to help the member maintain bidirectional communication and achieve optimal health outcomes.
Regularly interacts with Premise providers to understand member referral needs
Navigates client networks and providers and interprets information to members 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
Interacts with members via multiple modalities (phone, email, portal message , etc.) to identify appropriate referral target(s)
Works with community specialists and members to schedule appointments and ensure bi-directional medical records transfer
Follows up with member post-specialist visit, ensure member and specialist notes return to Premise, and coordinate ongoing care needs as appropriate
Remains in close coordination with Care Navigation product team to leverage new tools and processes as the strategy evolves
Adheres to timeframes and quality standards regarding completion of member assessments, reassessments, care plans, and documentation (including case notes, updates, consents, etc.
Manages, prioritizes, and completes multiple referrals simultaneously, expediting urgent referrals as appropriate
Maintains knowledge of available and appropriate client services and benefits in order to provide advocacy and guidance to members and their families.
Maintains positive and productive personal presentation with internal and external contacts, ensuring all engagements with staff/coworkers, members, and community partners are professional, courteous, and respectful
Is familiar with the Premise Health policies and procedures to assure quality assurance and quality improvement are properly implemented as needed
Partners with onsite health center staff to promote wellness center programs or represent the health center in scheduled or ad hoc employer meetings regarding health and wellness events or strategic initiatives
All other duties as assigned.
Auto req ID
455327BR
Minimum Education Required
Certifications/Security Clearances/Other (Enter Below)
Job_Category
Health/Medical other
Additional Qualifications/Responsibilities
What You'll Bring
High School diploma/GED
Preferred: Associate degree or equivalent from an accredited Medical Assistant training program with externship completed and passed OR National Certification in Medical Assisting from American Association of Medical Assistants, American Medical Technologists, National Center for Competency Testing, American Registry of Medical Assistants or National Health Career Association
Current certification in AHA or ARC Basic Life Support for health care providers preferred
Advanced Cardiac Life Support may also be preferred based on contract scope of services
Experience
3 years working in corporate wellness/health promotion or with health system logistics/scheduling
Epic Experience Preferred
Referral experience preferred
Knowledge And Skills
Ability to handle sensitive information confidentially
Ability to closely adhere to policies, practices, and procedures
Ability to convey information and ideas effectively both verbally and in writing
Be able to work in and create a positive attitude environment, manage caseload, complete task/duties and address conflicts as they arise
Communicate effectively with supervisory personnel in a cooperative and supportive manner
Be able to tolerate the ambiguity during transition time and take on other assignment as needed
Excellent problem-solving skills and ability to build positive relationships
Excellent verbal and written communication skills in a customer service environment
Excellent time management, organization, research, analytical, negotiation and interpersonal skills
Knowledge of prior authorization processes and how to execute a prior authorization
Certificates/Security Clearances/Other City*
Pella
State*
Iowa
Job Code
Health-Services health-services
Affiliate Sponsor
Premise Health
ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
As a Full Time Care Navigator, you'll provide care to client employees and their dependents in our Health Center located in Pella, IA. The scheduled hours are M,T, W and F 8-5. TH 10-7
NOTE: This role will start in December 2025
What You'll Do
Works with the member, primary care provider, and other members of the care team to identify and prioritize member's health care needs
Develops understanding of and leverages Epic's referral and scheduling capabilities and other available tools
Documents all encounters and follow up plans in Epic
Develops understanding of where member populations live and work, as well as high-value providers and facilities in key geographies
Proactively builds relationships with community specialists, alongside other health center team members, to educate them on Premise Health and our expectations, and facilitates streamlined referral access and information sharing
Works in collaboration with Premise Health Primary Care team members and providers in the community including but not limited to: specialty medical services, behavioral health services, disease care management specialists, social workers, and community-based organizations to help the member maintain bidirectional communication and achieve optimal health outcomes.
Regularly interacts with Premise providers to understand member referral needs
Navigates client networks and providers and interprets information to members 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
Interacts with members via multiple modalities (phone, email, portal message , etc.) to identify appropriate referral target(s)
Works with community specialists and members to schedule appointments and ensure bi-directional medical records transfer
Follows up with member post-specialist visit, ensure member and specialist notes return to Premise, and coordinate ongoing care needs as appropriate
Remains in close coordination with Care Navigation product team to leverage new tools and processes as the strategy evolves
Adheres to timeframes and quality standards regarding completion of member assessments, reassessments, care plans, and documentation (including case notes, updates, consents, etc.
Manages, prioritizes, and completes multiple referrals simultaneously, expediting urgent referrals as appropriate
Maintains knowledge of available and appropriate client services and benefits in order to provide advocacy and guidance to members and their families.
Maintains positive and productive personal presentation with internal and external contacts, ensuring all engagements with staff/coworkers, members, and community partners are professional, courteous, and respectful
Is familiar with the Premise Health policies and procedures to assure quality assurance and quality improvement are properly implemented as needed
Partners with onsite health center staff to promote wellness center programs or represent the health center in scheduled or ad hoc employer meetings regarding health and wellness events or strategic initiatives
All other duties as assigned.
Auto req ID
455327BR
Minimum Education Required
Certifications/Security Clearances/Other (Enter Below)
Job_Category
Health/Medical other
Additional Qualifications/Responsibilities
What You'll Bring
High School diploma/GED
Preferred: Associate degree or equivalent from an accredited Medical Assistant training program with externship completed and passed OR National Certification in Medical Assisting from American Association of Medical Assistants, American Medical Technologists, National Center for Competency Testing, American Registry of Medical Assistants or National Health Career Association
Current certification in AHA or ARC Basic Life Support for health care providers preferred
Advanced Cardiac Life Support may also be preferred based on contract scope of services
Experience
3 years working in corporate wellness/health promotion or with health system logistics/scheduling
Epic Experience Preferred
Referral experience preferred
Knowledge And Skills
Ability to handle sensitive information confidentially
Ability to closely adhere to policies, practices, and procedures
Ability to convey information and ideas effectively both verbally and in writing
Be able to work in and create a positive attitude environment, manage caseload, complete task/duties and address conflicts as they arise
Communicate effectively with supervisory personnel in a cooperative and supportive manner
Be able to tolerate the ambiguity during transition time and take on other assignment as needed
Excellent problem-solving skills and ability to build positive relationships
Excellent verbal and written communication skills in a customer service environment
Excellent time management, organization, research, analytical, negotiation and interpersonal skills
Knowledge of prior authorization processes and how to execute a prior authorization
Certificates/Security Clearances/Other City*
Pella
State*
Iowa
Job Code
Health-Services health-services
Affiliate Sponsor
Premise Health
