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Member Navigator Jobs in Texas (NOW HIRING)

Touchstone Communities

Care Navigator

San Antonio, TX · On-site

$19 - $24.50/hr

Care Navigator- Skilled Nursing at La Vernia and Pleasanton, TX Make a Difference in Every ... Participate as an active member of the Quality Assurance and Performance Improvement (QAPI ...

Touchstone Communities

Care Navigator

San Antonio, TX · On-site

$19 - $24.25/hr

Care Navigator- Skilled Nursing at La Vernia and Pleasanton, TX Make a Difference in Every ... Participate as an active member of the Quality Assurance and Performance Improvement (QAPI ...

AmeriCorps

One World Link Employment Navigator

Dallas, TX · On-site

$19.50 - $25.75/hr

Member Duties : As an Employment Navigator You will: - Recruit jobseekers through outreach at schools, community centers, faith-based organizations, and partner agencies - Conduct intake, assessment ...

Touchstone Communities

Care Navigator

San Antonio, TX · On-site

$19 - $24.25/hr

Care Navigator- Skilled Nursing at La Vernia and Pleasanton, TX Make a Difference in Every ... Participate as an active member of the Quality Assurance and Performance Improvement (QAPI ...

Patriot Enterprises LLC

$17.50 - $23.25/hr

EFMP ensures that a family member's needs are considered during the military personnel assignment ... Systems Navigators and ACS Compliance Specialists (SNACS) - Exceptional Family Member Program (EFMP ...

AmeriCorps

Community Health Navigator

Houston, TX · On-site

$20 - $25.75/hr

Community Health Navigator -Screen all referrals received from outside entities and internally from ... Member Duties : The CHN for AccessHealth is a frontline public health worker who serves as a ...

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Member Navigator information

What is a member navigator?

Member Navigators are professionals who assist individuals in navigating complex health care or insurance systems. They help members understand their benefits, connect them to appropriate resources, and guide them through processes like enrollment, referrals, and claims. Member Navigators often work for health insurance companies, hospitals, or community organizations, and provide personalized support to ensure members receive the care and services they need. Their goal is to remove barriers and improve members' experience with the healthcare system.

How does a member navigator typically coordinate care and support across different departments or service providers?

Member Navigators often act as a bridge between members and various healthcare or service providers, ensuring that each member receives comprehensive support. This involves regular communication with medical professionals, social workers, and administrative teams to help members access resources, schedule appointments, and resolve issues efficiently. Navigators must be proactive in following up on referrals and advocating for members’ needs, which requires strong organizational and interpersonal skills. Collaboration and adaptability are key, as each day may bring unique challenges and opportunities to make a positive impact.

What are the key skills and qualifications needed to thrive as a member navigator, and why are they important?

To thrive as a Member Navigator, you need a solid understanding of healthcare systems, benefit programs, and care coordination, often supported by a background in social work, public health, or a related field. Familiarity with case management software, electronic health records, and customer relationship management (CRM) tools is typically required. Outstanding communication, empathy, problem-solving, and organizational skills help build trust and effectively guide members through complex healthcare processes. These skills are crucial for ensuring members receive appropriate support and resources, leading to improved health outcomes and satisfaction.

What is the difference between Member Navigator vs Member Services Coordinator?

AspectMember NavigatorMember Services Coordinator
Required CredentialsHigh school diploma or equivalent; experience in customer serviceHigh school diploma or equivalent; customer service experience often preferred
Work EnvironmentOffice setting, interacting directly with members and staffOffice or call center, handling member inquiries and support
Employer & Industry UsageHealth plans, insurance companies, government programsHealth insurance providers, community health organizations
Common Search & Comparison IntentUnderstanding roles in member support and navigationCustomer service roles in health insurance

The Member Navigator and Member Services Coordinator roles both focus on assisting members within health insurance or healthcare organizations. While they share similar credentials and work environments, Member Navigators often have a more specialized role in guiding members through complex processes, whereas Member Services Coordinators handle general inquiries and support. Both positions are essential for effective member engagement and support in the healthcare industry.

What cities in Texas are hiring for Member Navigator jobs?

Cities in Texas with the most Member Navigator job openings:

Member Navigator jobs near you
Infographic showing various Member Navigator job openings in Texas as of August 2026, with employment types broken down into 86% Full Time, 9% Part Time, and 5% Contract. Highlights an 95% In-person, and 5% Hybrid job distribution.

Care Navigator

Touchstone Communities

San Antonio, TX • On-site

$19 - $24.50/hr

Other

Posted 4 days ago

Touchstone Communities (Texas) rating

4.5

Company rating: 4.5 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

Job description

Care Navigator- Skilled Nursing at La Vernia and Pleasanton, TX
Make a Difference in Every Transition of Care
Are you passionate about guiding patients and families through complex healthcare journeys? We are seeking a dedicated and highly organized Care Navigator to join our team. In this critical role, you will serve as the bridge between referral sources, residents, families, and interdisciplinary teams, ensuring a seamless transition into and out of our community while delivering an exceptional care experience.
The ideal candidate combines strong clinical knowledge with outstanding communication, problem-solving, and care coordination skills to support positive resident outcomes and operational excellence.
What You'll Do
As a Care Navigator, you will play a key role in coordinating admissions, care planning, and discharge transitions by:
Admissions & Care Coordination
  • Lead the admission process from initial referral through resident acceptance and move-in.
  • Review and assess medical records, clinical documentation, and care needs to determine appropriate placement.
  • Collaborate with referral sources, hospitals, physicians, residents, and families to ensure smooth transitions of care.
  • Ensure comprehensive pre-admission assessments are completed accurately and timely.
Communication & Collaboration
  • Serve as a central point of communication between residents, families, caregivers, and the interdisciplinary care team.
  • Communicate critical resident information to clinical and operational departments to support exceptional care delivery.
  • Partner with direct care staff and leadership to ensure resident needs are understood and addressed effectively.
Discharge Planning & Resource Management
  • Coordinate safe and effective discharge plans that promote continuity of care and successful recovery.
  • Identify and arrange appropriate post-discharge resources, services, and support systems.
  • Provide education and guidance to residents and families to facilitate a smooth transition home or to the next level of care.
Quality & Performance Excellence
  • Participate as an active member of the Quality Assurance and Performance Improvement (QAPI) Committee.
  • Support organizational goals and key performance indicators, including Balanced Scorecard initiatives.
  • Contribute to continuous improvement efforts that enhance resident outcomes and satisfaction.
What We're Looking For
Required Qualifications
  • Associate's or Bachelor's degree in a clinical field, or relevant clinical credential/licensure.
  • Strong experience in:
    • Admissions and care coordination
    • Medical record review and clinical assessments
    • Healthcare reimbursement and payer requirements
    • Utilization management
    • Discharge planning and transition management
  • Proficiency with healthcare technology and electronic medical records (EMR/EHR) systems.
  • Strong analytical, organizational, and decision-making abilities.
  • Ability to prioritize effectively and thrive in a fast-paced healthcare environment.
  • Excellent communication and interpersonal skills.
Preferred Skills
  • Experience working in skilled nursing, post-acute care, rehabilitation, long-term care, or healthcare case management.
  • Knowledge of Medicare, Medicaid, managed care, and insurance authorization processes.
  • Proven ability to build relationships with referral sources, residents, and families.
Why Join Us?
At Touchstone Communities, you'll have the opportunity to make a meaningful impact on residents' lives every day. We are committed to delivering best-in-class healthcare services through collaboration, compassion, and clinical excellence. As a Care Navigator, you'll be an essential part of ensuring that every resident experiences a seamless and supportive care journey.

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