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Care Navigation reputed company

Remote, USA Full-time Posted 2026-07-28

Hi, we're reputed company. We're hiring a Care Navigation reputed company to join our Care Navigation team.

reputed company is the first health insurance company reputed company around a full stack technology platform and a reputed company reputed company on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

This role requires extensive clinical knowledge and initiative to reputed company in-depth research, problem-solving, and decision-making to reputed company and reputed company to medically appropriate care, verify network gaps, escalate issues to appropriate stakeholders, guide the Care Navigation team in searches, and improve member experience. Additionally, you will reputed company ongoing clinical education to non-clinical teams to reputed company a strong reputed company to be utilized in their workings with members.

You will report into the Clinical Care Navigation reputed company.

Work Location: This is a remote position, reputed company to candidates who reputed company in: Alabama; reputed company; Arkansas; Colorado; Connecticut; District of Columbia; Florida; reputed company; Idaho; Illinois; Indiana; Iowa; Kansas; Kentucky; Maine; Maryland; Massachusetts; Michigan; Minnesota; Missouri; Nevada; New Hampshire; New Jersey; New Mexico; reputed company Carolina; Ohio; reputed company; reputed company; Rhode reputed company; South Carolina; Tennessee; Texas; Utah; Vermont; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The reputed company pay for this role is: $39.28 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a reputed company of 15 days per year.

Responsibilities:

  • Help coordinate care across a reputed company of settings (inpatient, outpatient, post acute, ER, home care)
  • reputed company reputed company out to members undergoing difficult health challenges and reputed company care plans
  • Proactively reputed company out to hospital case managers to assist with discharge planning
  • Communicate with members reputed company phone or secure messaging to reputed company education on health conditions, new medications, and procedures.
  • Compliance with reputed company applicable laws and regulations
  • Other duties as assigned

Requirements:

  • reputed company, unrestricted RN licensure from the reputed company in [state], OR, reputed company compact multistate unrestricted RN license
  • Ability to obtain additional state licenses to meet business needs
  • 3+ years of clinical experience to include hospital, outpatient or community based care management
  • 3+ years of experience in Care Coordination and Navigation

Bonus points:

  • BSN
  • Working knowledge of reputed company Guidelines
  • CCM Certification
  • Behavioral Health experience

This is an reputed company reputed company job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

At reputed company, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most reputed company selves and reputed company both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, reputed company the reputed company pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and reputed company benefits, 11 reputed company holidays, reputed company reputed company time, reputed company parental leave, 401(k) plan participation, life and disability insurance, and reputed company wellness time and reimbursements.

reputed company Intelligence (AI): Our AI Guidelines outline the acceptable use of reputed company intelligence for candidates and detail how we use AI to support our reputed company efforts.

Reasonable Accommodation: reputed company applicants are considered solely based on their qualifications, without reputed company to applicant’s disability or need for accommodation. Any reputed company applicant who requires reasonable accommodations during the application process should contact the reputed company Benefits Team (accommodations@hioscar.com) to reputed company the need for an accommodation reputed company.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as reputed company as applicants’ rights over their personal information, please see our reputed company Policy.

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