إرفاق
وصف الوظيفة
The Care Navigator is responsible for operational care coordination and patient-facing communication within clinical programs. The role ensures timely follow-up, accurate dissemination of medical information, and seamless navigation of members through approved healthcare services in alignment with established clinical pathways and internal policies with a goal for members to have coordinated care throughout their journey and improve their health outcomes.
Patient Care Navigation & Case Coordination
- Act as the primary point of contact for members enrolled in clinical programs.
- Guide patients through approved care pathways, explaining service processes, requirements, and next steps.
- Coordinate internally to ensure timely processing of healthcare service requests (appointments, referrals, approvals).
- Maintain accurate documentation of all member interactions in the system.
- Collaboarte with healthcare providers, patients, and their families to facilitiate effective care management and improve health outcomes.
Communication of Clinical Information and Patient Education
- Provide clear, accurate explanations to members regarding their medical service requests, approvals, and program enrollment status.
- Translate medical terminology into patient-friendly language while maintaining clinical accuracy.
- Escalate complex clinical inquiries to appropriate clinical supervisors or physicians when required.
- Facilitate communication between patients and healthcare providers to ensure continuity of care.
Operational Support to Clinical Programs
- Support the execution of clinical programs by tracking patient milestones and adherence to assigned pathways.
- Monitor enrollment, follow-up schedules, and required documentation.
- Assist in coordinating multidisciplinary interactions when required (e.g., providers, digital services, internal teams).
- Arrange necessary resources and services for patients, including referrals to specialists, community services, and support programs.
Service Request Monitoring & Follow-Up
- Track healthcare service requests from initiation to completion.
- Follow up with relevant departments (medical approvals, provider network, customer service) to prevent delays.
- Notify members of updates within agreed service level timelines.
Data Entry, Reporting & Documentation Compliance
- Ensure accurate entry of case notes, updates, and program-related activities into internal systems.
- Maintain confidentiality and compliance with healthcare data protection regulations.
- Support supervisors with basic operational reporting (e.g., caseload status, follow-up completion rates).
Patient Experience & Service Quality Support
- Address patient concerns related to care navigation within scope of authority.
- Identify recurring operational issues and escalate them to management.
- Contribute feedback to improve communication workflows and patient journey processes.
المهارات
· Strong understanding of medical terminology and basic clinical pathways.
· Familiarity with healthcare authorization and service request processes.
· Proficiency in healthcare information systems and documentation tools.
· Clear verbal and written communication skills.
· Ability to manage multiple cases simultaneously with attention to detail.
المؤهلات العلمية
Bachelor’s degree in Nursing, Health Sciences, Public Health, or related healthcare field
تفاصيل الوظيفة
المرشح المفضل
Bupa Arabia
Bupa Arabia is a healthcare insurance company based in the Kingdom of Saudi Arabia. We are an associate business of Bupa Group, which is a global healthcare company with an international reach that extends across multiple business operations, practices, and resources.
Founded in October 1997, Bupa Arabia was initially established through a partnership between Bupa Global International and Nazer Group, with the key focus to provide health insurance services with high quality and competitive prices, while ensuring a distinctive experience for customers. Bupa Arabia has since evolved into a fully Saudi-owned and operated company. Our transformation from a joint venture into a publicly traded company on the Saudi Stock Exchange occurred in 2008, as we made 40% of our shares available to the public during our Initial Public Offering (IPO).
As a subsidiary of the global Bupa Group, we draw upon international expertise while maintaining a profound understanding of local healthcare requirements and regulations. This allows us to offer comprehensive healthcare insurance solutions tailored to the unique needs of the Saudi Arabian market.
Bupa Arabia prides itself on its commitment to the wellbeing and development of its employees, providing them with the same standard of care, support, and professionalism that it expects to be delivered to its customers.
Our core values shape every aspect of our work and culture:
Commit – Own it with accountability and urgency.
Collaborate – Win together through cross-functional synergy.
Care – Put people first, both employees and customers.