Care Navigator

Crossover Health

. Process referrals daily to secondary care outside Crossover Health, including specialists, imaging, community resources, and employer benefits .

Posted 9/23/2026part-timeRemote • United StatesMid-LevelSenior💰 $24 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing patient referrals, utilizing clinical judgment and critical thinking to ensure timely and effective communication between patients and healthcare providers. Proficient in data tracking and management, with strong organizational skills to navigate a fast-paced healthcare environment.

Highest-signal resume keywords

Referral Processing ExperienceClinical JudgmentData Tracking and ManagementStrong Communication SkillsCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Referral ProcessingDatabase ManagementData TrackingClinical DocumentationPrior Authorization AssistanceGoogle SpreadsheetsExcel ProficiencyProblem SolvingWorkflow ImprovementPatient Care Coordination

Soft Skills

Excellent Follow-ThroughCreative Problem SolvingFlexibilityTeam CollaborationStrong Task Execution

Certifications & Qualifications

High School Diploma/GEDBachelor’s Degree (Preferred)

Industry Keywords

Primary CareSpecialist ReferralsContinuity of CareCommunity ResourcesEmployer BenefitsPatient Insurance BenefitsHealthcare CommunicationClinical Team UpdatesPatient InteractionHealthcare Workflow

About the role

Key responsibilities & impact

Process referrals daily to secondary care outside Crossover Health, including specialists, imaging, community resources, and employer benefits
Maintain specialist, community service, and employer benefit directories
Track referrals, maintain communication, and document appropriately to ensure continuity of care
Ensure referrals are addressed in a timely manner
Assist with training MDs and CNs on the external referral process
Assist with prior authorizations as needed
Serve as the single point of contact between specialists, clinic physicians, and patients for care outside Crossover Health clinics
Provide updates to the clinical team regarding active referrals
Use clinical judgment and critical thinking to identify provider type and referral urgency
Generate complete referral packets and submit appropriate clinical documents to specialists
Ensure referral packets arrive at specialist offices and patients receive timely appointments
Work within patient insurance benefits and consult benefit specialists for high-quality, cost-effective care
Troubleshoot downstream complications and prevent gaps in care
Interface professionally with primary care MDs, RNs, and clinic Hosts
Assist in developing technology and service innovations for closed-loop referral communication and coordination
Perform other duties as assigned

Requirements

What you’ll need

At least 3 years of applicable experience (experience in a Primary Care setting preferred)
High school diploma/GED required
Proficient working with Google spreadsheets and/or Excel, database management and data tracking
Bachelor’s Degree or relative medical experience preferred
Experience processing referrals for a medical group preferred
Creative and flexible and effectively manages obstacles
Excellent follow-through and strong task execution skills
Able to handle ambiguity when problem solving
Thrive in a fast-paced and rapidly changing environment
Ability to work in multiple technology platforms simultaneously, using clinical judgment and critical thinking in accessing and documenting information that pertains to each patient’s referral process
Organization and accountability within a fluid and constantly changing environment
Strong communication, customer service and people skills
Ability to connect with patients, doctors, nursing staff, clinic staff, and technicians
Excellent problem solving and problem preempting skills
Willingness and drive to go the distance to help
Ability to work with a team to create new and improved workflows
May require standing, walking and sitting for extended amounts of time
Occasionally lift and carry items weighing up to 50 lbs.
Manual and finger dexterity and hand-eye coordination
Full range of body motion
Corrected vision, hearing and speech within normal ranges
Must be able to effectively communicate with patients and team members

Benefits

Comp & perks

Eligible for 401K
Equal Employment Opportunity
Disability accommodation assistance