Schedule: Full-time, 100% on-site, in Las Vegas, NV 89148
Description:

The Clinic Care Navigator supports Medical Management by assisting with care coordination, patient outreach, and administrative functions that do not require RN-level intervention. This role focuses on identifying and guiding patients, particularly those at higher risk, to improve health outcomes, enhance patient and provider experience, and reduce overall healthcare costs. This is a fully on-site position based in Las Vegas, NV.

What You Will Do:

• Coordinate patient care activities between Utilization Management (UM) and Case Management (CM) teams


• Conduct outreach to patients, including post-discharge follow-up calls (acute and post-acute settings)


• Identify and support high-risk and non-high-risk patients through data and case finding tools


• Manage ER utilization reports and implement interv...