The healthcare system is complicated. We all know it. When making a decision about your care, there is a plethora of resources available, but determining the right ones can be very overwhelming.
For people who have a medical professional in their family, they can count on them to direct them to the best care and to guide them through medical decisions. But who can people who do not have a doctor or nurse in their family turn to for advice? It is this question that Rightway's dedicated clinical Navigator answers.
Healthcare Navigators are professionals trained to help consumers navigate through the US healthcare system. Their goal is to help you make the best healthcare decisions possible. Whether that means picking the plan that best suits your lifestyle, preparing for a surgery or procedure, or finding top in-network doctors; there's someone who is trained to help you do just that. A Healthcare Navigator also aids in logistical aspects and helps manage complicated care regimens.
The healthcare system is like a maze, which often leads individuals to several dead ends. A Navigator's job is to guide you on the right path so that you aren't led astray by private interests or by profit-motivated individuals.
So let's dive into more specifics, the different roles that employer and patient healthcare navigators can fulfill, and how they can help you access better healthcare.
But Just What is a Healthcare Navigator Exactly?
They are experts in the health space. The best Navigators have years of clinical experience as doctors or nurses and have help from Health Assistants who have backgrounds in healthcare policy and claims. Their main purpose is to assist members with coordinating care, understanding benefits, and resolving bills. Navigators are required to be unbiased, and their services are free to members as a part of their company’s benefits.
Healthcare Navigators explain how health insurance plans work to their beneficiaries and purchasers. They help them understand their plans and how to find the plans best suited to them.
When it comes to enrollment, there are different ways of applying for health insurance. Two of the standard ways is through paperwork or applying online. Health navigators can help with both, not only with establishing eligibility but also in potentially qualifying you for insurance affordability programs.
Navigators are advocates that mentor you about your benefits, conditions, bills, and all other healthcare needs. If necessary, they can also refer members to additional employee assistance programs.
The Clinical Space
Healthcare Navigators also have several duties in the clinical space. These duties include helping members get access to treatment, helping them understand diagnoses and treatment options, as well as analyzing and understanding your healthcare plan so that you don't have to.
Navigators are concierges that are dedicated to each member. That means every time you call or message your Navigator, you will talk to the same person and they will have files of your preferences and applicable medical information. They are armed with data and analytics to proactively engage you on issues that can improve your health. For instance, they will review blood pressure numbers you convey to them and help you find a Cardiologist if need be.
This has huge implications for patients. When care is given proactively, is patient-centered, and preventive, healthcare providers will be able to spot symptoms in patients earlier as well as provide them with more efficient care. Most major conditions can be prevented through early intervention and patient healthcare navigators are there to make sure all necessary preventive care steps are taken to keep members healthy.