Healthcare Without Rival

New to working in Employer Health? Premise Health serves large organizations and their employees with exceptional healthcare. Our mission is to help others get, stay, and be well. Come join us and make a difference. Visit premisehealth.com to learn more about us and what we do. 

We are currently looking for a remote/virtual Full-time Centralized Care Navigator to join our Digital Wellness Center team. This position will provide coverage within the Central Time Zone. Anticipated work schedule will be Mon-Fri, 8am-5pm CST. Epic experience is required, and referral coordination experience is strongly preferred. This role also requires a dedicated, private workspace and high-speed internet. 

What You'll Do: 

• Care/Benefit Plans: 
  • Works with the member, primary care provider, supervisor and other members of the health services team (EAP, Case Managers, Fitness, TPA, etc.) to identify and prioritize member's health care goals.
  • 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:
  • Develops understanding of Epic's referral and scheduling capabilities, and 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 and our expectations, facilitate streamlined referral access and information sharing.
  • Works in collaboration with Virtual Primary Care team members and care providers both in the facility and in the community including but not limited to: behavioral health services, disease care management specialist, social workers and community-based organizations to help the member maintain bidirectional communication and achieve optimal health outcomes.
  • Interacts with Premise providers to understand referral needs.
  • Interacts with members via multiple modalities (phone, email, video, etc) to identify appropriate referral target(s).
  • Assists members in scheduling appointments for clinical/medical and other community-based social services and assists with arranging transportation as needed to ensure access to services.
  • Works with community specialists and members to schedule appointments and ensure bi-directional notes 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 central Connected Care+ team as we evolve our strategy, leveraging new tools and processes
  • Adheres to timeframes and quality standards regarding completion of member assessments, reassessments, care plans, and documentation (including case notes, updates, consents, etc.).
  • 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.
• All other duties as assigned.
• May include up to 10% travel.

What You'll Bring: 

• High School diploma/GED.
• Member Engagement: 3+ years working in corporate wellness/health promotion or with health system logistics/scheduling.

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you.

Premise Health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

For individuals living in California, Colorado, New York, New Jersey, Minnesota or Washington only, Premise Health is required to include an estimate of the salary and benefits for this role. While a number of factors influence salary, our estimated California, Colorado, New York, New Jersey, Minnesota or Washington compensation is $21.54- 26.92/hr. Please note, this is a general guideline and your experience, qualifications, geographic location, and other factors will be taken into consideration. For more information regarding the benefits we offer, please visit our career site, jobs.premisehealth.com/benefits.