Plan Care Navigator

PruittHealth • Athens, GA, US • published 2026-09-22 10:42:51.245790

Description

**JOB PURPOSE:** The plan care navigator serves as a point of contact and specialized care partner for members enrolled in PruittHealth Premier. This role focuses on problem solving, clinical care coordination, conducting structured phone assessments, monitoring health status, improving patient engagement, and assisting with closing gaps in care. The goal is to provide excellent customer service, proactive support, improve health outcomes, helping members access care and services, assist with benefit navigation, and help prevent unnecessary hospitalizations or emergency room visits. **KEY RESPONSIBILITIES:** 1\. Handle inbound calls, assess member needs, and provide appropriate guidance. 2\. Offer live phone support to answer questions and address concerns before appointments. 3\. Proactively manage patient care workflows from initial outreach to case resolution. 4\. Escalate items such as abnormal or elevated vital signs, medical history concerns, or other clinical concerns to RNs. 5\. Accurately document all patient interactions using electronic health records (EHR) document all calls through platforms for call center; utilize phone call scripts 6\. Conduct check\-in calls with e...

Get jobs like this daily in Telegram: @careeri_bot