Remote Patient Care Navigator

Join CVS Wellbeing and make a real difference in people's lives! As a Remote Patient Care Navigator, you'll play a vital role in delivering high-quality, patient-centered care. In this flexible, remote position, you'll leverage your skills to support patients and contribute to a healthier future. We offer a competitive salary commensurate with experience.

Position Summary

The Remote Patient Care Navigator is responsible for the day-to-day management of patient interactions to ensure successful outcomes. You will build and lead high-performing teams to provide convenient, patient-focused responses to needs. You will collaborate effectively with colleagues and other departments, ensuring the consistent application of Aeetna's care approaches and strategies. You will identify trends and issues, propose solutions, and contribute to achieving unit financial, operational, and quality goals.

You will manage team efficiency and resources, setting expectations and distributing responsibilities to ensure patient satisfaction through timely and accurate issue resolution. You will serve as a subject matter expert and mentor, guiding the team on Aeetna's policies, procedures, and regulatory requirements. You will determine and implement performance measures and standards for quality assurance and cost-effectiveness, and coach the team to take appropriate action. This role involves recruiting staff, fostering strong team relationships through training, coaching, and development, and ensuring that all patient interactions meet government and state requirements and quality measures. You will also be responsible for using the National Reporting Tool to ensure data consistency and trend analysis, holding team members accountable for results, and leading change initiatives within the team.

Required Skills & Qualifications

• Excellent verbal and written communication skills
• Exceptional customer service skills
• Experience documenting workflows and leading process improvement initiatives
• Experience in a clinical case/call center environment
• Proven ability to coach and lead others
• Ability to travel less than 10% post-COVID (for office meetings or initiative gathering)

Preferred Skills & Qualifications

• Project management experience
• Federal healthcare experience
• Claims processing experience
• Experience with a secondary schedule

Compensation: This pay range reflects the base hourly rate or base annual full-time compensation for all situations within this position's grade. The actual compensation offer will vary based on experience, education, location, and other relevant factors. This position is eligible for a CVS Wellbeing bonus, commission, or short-term incentive program in addition to the base compensation.

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Easy Application Process

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