Care Navigator📣 Job Ad

About the Care Navigator Role

Bupa Arabia is seeking a Care Navigator for an internship position in Jeddah. This role is designed for individuals with 0-1 years of experience who are looking to gain practical experience in healthcare coordination and patient support. The Care Navigator will play a crucial part in ensuring members receive timely and effective care throughout their healthcare journey.

Role Overview and Objectives

The Care Navigator is responsible for the operational coordination of care and direct communication with patients within clinical programs. This position ensures that follow-up actions are taken promptly, medical information is communicated accurately, and members are guided seamlessly through approved healthcare services. The aim is to align with established clinical pathways and internal policies, ultimately leading to coordinated care and improved health outcomes for members.

Key Responsibilities and Duties

• Serve as the primary point of contact for members enrolled in clinical programs.
• Guide patients through approved care pathways, explaining processes, requirements, and next steps.
• Coordinate internally to ensure timely processing of healthcare service requests, including appointments, referrals, and approvals.
• Maintain accurate documentation of all member interactions within the system.
• Collaborate with healthcare providers, patients, and their families to facilitate effective care management and enhance health outcomes.

Communication and Patient Education

• Provide clear and accurate explanations to members regarding their medical service requests, approvals, and program enrollment status.
• Translate complex medical terminology into patient-friendly language while ensuring clinical accuracy.
• Escalate complex clinical inquiries to appropriate clinical supervisors or physicians when necessary.
• Facilitate communication between patients and healthcare providers to ensure continuity of care.

Operational Support and Service Monitoring

• 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, including providers, digital services, and internal teams.
• Arrange necessary resources and services for patients, such as referrals to specialists, community services, and support programs.
• Track healthcare service requests from initiation to completion and follow up with relevant departments to prevent delays.
• Notify members of updates within agreed service level timelines.

Data Management and 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, such as caseload status and follow-up completion rates.
• Address patient concerns related to care navigation within the scope of authority and escalate recurring operational issues to management.
• Contribute feedback to improve communication workflows and patient journey processes.