Patient Care Navigator

Make a difference to patients who need you the most. Be their advocate. Empower them to take charge of their own health, and transform their lives through thoughtful, caring, and committed engagement.

This position is remote and can be located ANYWHERE in the US.

At Cohort Intelligence, we provide exceptional quality of care to patients living with two or more diagnosed chronic conditions. If you join our team as a Patient Care Navigator, you will talk with your patients by phone and create ongoing, long-term relationships as you provide them with Chronic Care Management services. You will act as an extension of the clinical staff of physician practices to help patients better understand their disease, set and achieve healthcare targets, and improve and maintain their overall quality of life. In addition, you will work with supporting clinicians to help them operate as efficiently as possible by coordinating and communicating patient notes and updates.

You will also be joining an organization that wants to help you grow as a healthcare worker, that lives its core values in every way, and builds its strategies around how to give patients better care. We are excited and enriched by the work we do at Cohort and we go home every day proud of the difference we make.


Cohort Intelligences mission is to transform patient lives by building lifelong relationships with them.

Through these ongoing relationships, we help patients prevent avoidable hospital stays, fight loneliness and anxiety, and relieve the stress and confusion that come from trying to navigate a complex health system.

Duties will include:

  • Engage eligible patients, educate them on CCM value, obtain verbal consent and provide ongoing services including:
    • Assess patients current health status and identify concerns and areas for improvement
    • Provide education related to patient regarding medical conditions and factors that impact their health
    • Set health-related goals based on the patients medical conditions
    • Identify and close, or facilitate closure of both clinical and non-clinical care gaps
    • Empower patients to make sustainable health behavior changes to improve their well-being
    • Continually provide motivation, encouragement, and support
    • Communicate with patients medical providers per protocols regarding important items such as new or worsening symptoms or medication access and adherence
    • Provide community resource options (both clinical and non-clinical) to help patients access the necessary resources at the right time
    • Proactively reach out to patients no less than once monthly to provide ongoing support and continual assessment of health status
  • Provide responses to patients, providers and team leaders
  • Create, update, and maintain care plans using Cohorts proprietary software
  • Maintain production and quality metrics as defined


  • High School Diploma/GED
  • 1 or more years of medical office experience- 3-5 years preferred
  • Family practice experience preferred
  • Full-Time (40 hours per week)
  • Home Office with reliable internet and quiet working space
  • Strong Communication and interpersonal skills (written and verbal)
  • Proficient computer skills including Electronic Health Record, Microsoft programs and Google Suite
  • Ability to work well independently in a fast- paced environment
  • Empathic and active listener
  • Effective at managing time to achieve goals

Preferred Skills:

  • Certified/Registered- Medical Assistant or Nursing Assistant (required if less than 3 years in medical office)
  • Experience with Chronic Medical Conditions
  • Strong assessment skills
  • Critical thinking and problem solving
  • Bi-lingual Spanish speaking is a definite plus

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Full time
Salary Range
$34,000.00 - 62,000.00
per Year
Salary range estimated by
Framingham, MA 01701, US