RN Care Navigator Sandbar Health Ballston, VA Job Details Full-time $90,000 - $110,000 a year 5 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Paid sick time Qualifications Patient scheduling systems HIPAA compliance Insurance prior authorization Overseeing health insurance pre-certification RN License Tooling Primary care HIPAA Medical scheduling Healthcare referral management Clinical information systems Healthcare privacy protection Client referral services Bachelor of Science in Nursing Health insurance referral requirements Phone triage Managing patient records Care coordination Associate Degree in Nursing Full Job Description Sandbar Health is a physician-led primary care practice opening in the DC metro area in January 2027. Members pay a flat monthly fee rather than being billed per visit, which means small panels, more time with the care team, and same- or next-day access. Care navigation is central to how we practice: getting members to the right specialist, the right test, and the right facility, rather than leaving them to work that out alone. Backed by experienced healthcare operators and investors, we are hiring the founding care team now. Position Summary We are hiring for a RN Care Navigator. This role is the front door to each member's care. The RN Care Navigator takes the first touch on whatever a member brings in. That means triaging the message or call, deciding whether the member needs the physician or needs navigation, and handling it directly wherever their license allows. Many practices put their least-credentialed staff at the front door: a member calls, explains the problem to someone non-clinical, gets handed to a triage nurse, explains it again, and then waits for the clinician. We would rather the first person a member reaches be a nurse who can resolve the question in one touch. Alongside triage, the role owns the coordination around the care team: welcoming members at onboarding, booking referrals and specialist appointments, and chasing records and results so members do not have to. The RN Care Navigator works alongside the physicians and the nurse practitioner and reports to a Medical Director. As panels fill, concierge staff will be added beneath the role. Members will talk to their RN Care Navigator more often than they talk to their doctor, making this a key role on the care team. Core Responsibilities Triage inbound member messages, calls, and requests, deciding what needs a visit, what needs navigation, and what you can close yourself, then escalating to the physician or NP with the clinical picture already assembled Follow up on lab and imaging results: call back normal results yourself, and route abnormal results to the ordering clinician Be each member's point of contact for care, appointments, and benefits, including the questions that span all three Run the 15-minute introductory call that opens the relationship: set expectations, find out what the member actually needs, and book their first visit out of it Coordinate referrals, specialist appointments, imaging, labs, and follow-ups through to completion, and pull together the outside records, results, and prior authorizations that go with them Close the loop on care plans and care gaps: scheduling, reminders, proactive follow-up, down to confirming that a new prescription was picked up and is being taken Catch avoidable utilization before it happens, and check in with members who have open needs, preventive care due, or elevated risk Build and maintain our local specialist library, including introducing us to area specialists and facilities directly Before we open, help define the triage and escalation standards, navigation workflows, and member-app tooling you will use. In the early months, before concierge staff are in place, carry the referral sending, records requests, and scheduling that will eventually sit with them. Care Model Sandbar runs small panels to ensure rapid access to care, and we seek efficiency from technology and operations rather than from rushing members. At launch the care team is two physicians, one nurse practitioner, and two RN Care Navigators, with concierge staff added beneath the Navigators as panels fill. What that means day to day: Clinical judgment close to the member rather than several handoffs away Coordination and navigation as real work, not something squeezed in around visits Async-first for low-acuity needs Admin carried by the tooling wherever it can be Required Qualifications ADN or BSN, and 3+ years as an RN with meaningful time in ambulatory care, primary care, telephone triage, care management, or care coordination Triage judgment: comfort deciding what needs a clinician now, what can wait, and what you can handle yourself An active, unrestricted Virginia RN license, residence in Virginia, and eligibility for the Nurse Licensure Compact. You will also need a DC license, which we pay for, along with any further state licenses as we grow. Hands-on experience running referrals, scheduling, and prior authorizations in an EHR, plus comfort with care-coordination tools, secure messaging, and AI-supported workflows Sound judgment handling PHI and sensitive situations, including HIPAA, member privacy, and family and guardian access questions such as minors and personal representatives Organization and follow-through. You will hold a lot of open threads at once, and every one of them has to close. Warmth and empathy that hold up under pressure. We are hiring clinical judgment and warmth in the same person, and neither substitutes for the other. This role is hybrid in Northern Virginia. You must live in Virginia, or be relocating there before your start date. Nice to Have Experience in direct primary care, concierge medicine, or employer-sponsored primary care Prior work on a true interdisciplinary care team rather than a fee-for-service encounter model Experience standing up a new clinic, service line, or care program Working knowledge of how health plans, benefits, and eligibility function Bilingual ability Interest in care redesign and early-stage, innovative healthcare ventures What We Offer Building the care navigation function from scratch, as one of the founding members of the care team Small panels and the time to actually take care of people Direct working relationships with the physicians you support and with the team building the tooling Tools that take admin off your desk rather than adding to it $95,000-$110,000 depending on experience, with performance-based bonus potential Full benefits, including medical/dental/vision, 401(k), paid time off, and licensure/CE and professional development support Equal Opportunity We are an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by federal, state, or local law. If you need a reasonable accommodation at any point in the application or interview process, tell us and we will arrange it.

Pay:

$90,000.00 - $110,000.00 per year

Benefits:

Dental insurance Health insurance Paid sick time Paid time off

Work Location:

In person