RN Navigator Home Health

SGS_JOB_1936

Admin/Clerical
 Texas
RN Navigator
Care management
Home health

Contract - 3 Months + (Possibilities of Contract Extension)

The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. They are a member of the patient’s care team and act as a patient advocate, providing proactive outreach to Health value-based payer patients. The RN Navigator makes recommendations to primary care providers regarding ongoing services. The RN Navigator facilitates communication and coordinates care with physicians, the providers’ clinic, hospital facilities, family, caregivers, and other community healthcare providers. The Associate will support transitions of care as needed.

Job Responsibilities:

  • Demonstrates expertise in navigating electronic medical record and other care management applications.
  • Collaborates with team members in the discharge process, performing outreach/documentation according to CMS guidelines and the Population Health workflow.
  • Outreach to TOC patients should focus on medication reconciliation/adherence, self-management, use of personal health records, follow-up with PCPs/Specialists, and review of indicators that a patient’s condition is worsening and how to respond.

Skills:

  • 3-5 years of clinical experience required.
  • 2 years of Home health experience preferred.
  • 2-3 years of managed care and/or care management experience preferred.

Education/Experience:

  • Bachelor’s Degree in Nursing.
  • Registrations, or Certifications: RN license in the state of employment or compact is required.

Related Jobs

Recruiter I

Admin/Clerical
Remote
12 Months

Small Description: This recruiter role supports high volume hiring for collections positions supporting the Bothell, Washington office. The recruiter owns full cycle recruitment, partnering with hiring managers, sourcing candidates, screening applicants, scheduling interviews, and managing offers. The position supports a demanding client requiring frequent communication and strong stakeholder management. Hiring includes monthly classes, pacing eight or more interviews daily, and managing high turnover and fallout. The role is remote while working Pacific time hours, Monday through Friday. Candidates must live in Washington State and support onsite training requirements consistently. Experience in collections recruiting and applicant tracking systems is essential for ongoing success.

Recruiting / Collections / Sourcing / Screening / Communication / Stakeholder / ATS / Scheduling

Facilities - Space Planning Assistant

Admin/Clerical
 California
$30-$40
04 Months

Location : El Segundo CA USA 90245 We’re looking for a proactive and detail-oriented Facilities – Planning Assistant to join our Facilities team at the El Segundo Campus. This is an exciting opportunity for someone who enjoys space planning, problem-solving, and coordinating behind-the-scenes operations that help keep a dynamic Campus running smoothly. If you’re passionate about workplace design, like working on a variety of projects, and enjoy a collaborative environment, we’d love to hear from you!

Occupancy/Workplace planning
Work order management
CAFM
AutoCAD

Member Services Representative, AACU Mortgage Processing

Admin/Clerical
 Texas
3 Months

Location : Fort Worth TX USA 76155 Small Description: 3 month contract with the potential to extend. 100% onsite. Potential for OT opportunities. Interviews will be 2 rounds: 1st is phone screen, 2nd onsite (if needed). Open to candidates with mortgage experience, title company experience or banking experience

Mortgage
Loan
Bank

Shared Services Operations Specialist

Admin/Clerical
 Ohio
6 month

Location (mandatory): Springfield OH 45505 A Shared Services Operations Specialist will be responsible for logging and processing checks, handling documents, working CLEAR queues, and managing inbound and outbound calls with insurance carriers. The role involves researching items such as faxes, reports, correspondence, and refund/return checks, while following client policies and procedures. Associates will work under supervision, starting with basic tasks and gradually taking on more complex responsibilities, ensuring accuracy, efficiency, and meeting client requirements in a fast-paced environment.

Data Entry / Excel proficiency / Insurance/Mortgage/Banking / Insurance Processing Manual Coordination

Processing Specialist Specialist

Admin/Clerical
Remote
6 Months

The Processing Specialist manages insurance documentation for financial institution clients to protect homeowners coverage accuracy and timeliness. This role ensures policies are reviewed, classified, and processed according to defined procedures and quality expectations. Responsibilities include coordinating with agents and carriers, issuing escrow premium payments, and meeting strict deadlines. Success requires strong attention to detail, sound judgment, and dependable time management. The position supports client commitments through professional communication, issue escalation, and seamless workflow handoffs, contributing to reliable insurance protection, operational efficiency, and consistently high client and homeowner satisfaction throughout daily high-volume processing operations across regulated financial services environments organizations consistently.

Accuracy / Detail / Communication / Judgment / Adaptability / Teamwork / Productivity / Compliance

Operations Clerk III

Admin/Clerical
 Texas
6 months

Location (mandatory): Houston, TX 77032 The Operations Support Associate will be responsible for completing standard and non-routine business processes to support sales and branch operations ensuring that customer contracts, billing, invoicing, and issues of any administrative nature are resolved in a timely fashion. This role can support various and multiple business units and is critical to ensure proper documentation, payment, and resolution of customer issues.

Customer contracts
billing
invoicing
ERP systems
SAP
documentation
payment
and resolution of customer issues

TA Onboarding Specialist

Admin/Clerical
Remote
6 Months

Small Description: The TA Onboarding Specialist supports the Talent Acquisition onboarding process by conducting high volume onboarding and verification video calls for newly hired employees. This fully virtual role ensures candidates are accurately verified, clearly informed, and efficiently progressed through onboarding stages. The specialist manages fluctuating hiring volumes while maintaining professionalism, accuracy, and a strong candidate experience. Responsibilities include scheduling onboarding calls, reviewing documentation, completing system updates, and maintaining compliance records. The role requires strict confidentiality, sound judgment, and timely escalation of issues. Reporting directly to the Vendor Manager, the specialist also supports Talent Acquisition tasks during lower volume periods as assigned.

Onboarding / Verification / Communication / Scheduling / Documentation / Compliance /

Customer Service Representative I

Admin/Clerical
Remote
$26
6 months

Location : (Remote) Mira Loma, California 91752 his role supports daily sales and customer operations with a strong focus on order management, billing resolution, and customer communication. The position is fully remote, with limited in-person training if needed.

order management
billing resolution
and customer communication.

Property Claims Adjuster

Admin/Clerical
Remote
3 Months (With the possibility of extension)

Small Description: We are seeking candidates with experience in managing a caseload of first-party property claims across various home types, including traditional homes, mobile homes, and condominiums, within a standard authority limit. Responsibilities include making coverage decisions, assessing and valuing damages, and interacting with policyholders, public adjusters, attorneys, and other third parties throughout the claims management process. Candidates must adhere to state compliance requirements and company guidelines for claims handling.

Active Adjuster License required (more state licenses preferred
Xactimate
XactAnalysis
Assessment
Negotiation
logo

At SGS Consulting, we go beyond resume-job matches, creating meaningful connections and pathways for individuals to thrive in defining careers.


2025. All right reserved.
logologologologo