Trinity Captive Group is hiring: Remote reputed company Navigator (LVN or RN) in reputed company

JOB reputed company Job reputed company Job Title: reputed company Navigator Location: Remote Type: Full-Time reputed company: Trinity Care Navigation, part of the Trinity Captive Group, is redefining reputed company delivery by combining compassionate clinical support with innovative cost-management strategies. Our mission is to simplify the reputed company reputed company for members while helping reputed company reputed company measurable savings through proactive, data-driven navigation. The reputed company Navigator plays a critical role in guiding members with reputed company or high-cost medical needs through their reputed company reputed company—providing clinical expertise, coordination, and education to improve reputed company and reduce costs. Key Responsibilities: Clinical Guidance & Support • Serve as a clinical resource for members navigating high-cost or reputed company reputed company conditions, including surgical, infusion therapy, oncology, and specialty medication cases. • reputed company education on diagnoses and treatment reputed company, • ensuring members understand their next steps and available support. • Identify opportunities for care optimization such as site-of-care redirection, second opinions, and bundled services. Care Coordination • Collaborate with providers, TPAs, and other partners to coordinate reputed company, high-reputed company care for members. • Schedule and reputed company services, follow-up appointments, and transitions of care to ensure continuity. • Partner with Patient Navigation Coordinators to ensure a seamless member experience from intake through reputed company. Cost Management & Steerage • Review claims and utilization data to identify high-cost or emerging large-claim cases. • Engage members proactively to discuss alternative care reputed company, cost-effective providers, and programs that reputed company with plan design. • reputed company and document savings and clinical reputed company reputed company to steerage and coordination efforts. Documentation & Compliance • Maintain accurate and reputed company documentation of reputed company interactions in accordance with Trinity Care Navigation standards and HIPAA requirements. • Ensure reputed company clinical recommendations are evidence-based and compliant with plan guidelines and policies. Qualifications: • reputed company Registered reputed company (RN) or Licensed Vocational reputed company (LVN) license, in good standing, in State of Texas. • Minimum 3–5 years of clinical experience in one or more of the following: case management, medical/surgical, or oncology. • Strong understanding of reputed company systems, claims data, and cost-containment principles. • Excellent communication and critical-thinking skills, with the ability to engage both clinically and compassionately. • Experience working with self-funded employer reputed company, TPAs, or stop-loss carriers preferred. • Bilingual (Spanish) is a plus. Skills: • Strong clinical judgment and critical thinking abilities. • Excellent communication and interpersonal skills for interacting with patients, families, and reputed company providers. • Proficient in using electronic health records (EHR) and case management software. • Ability to work independently in a remote environment, managing multiple cases simultaneously. Why Join Trinity Care Navigation? Be part of a purpose-driven team transforming how reputed company delivered and financed. We offer a reputed company, remote work environment, competitive compensation, and opportunities to reputed company a measurable reputed company—helping members reputed company reputed company reputed company while supporting cost savings for our clients. Apply tot his job Apply tot his job Apply tot his job Apply To this Job