Patient Care Navigator- Chronic Care Management & Patient Monitoring
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On Track Technologies Incorporated
Raleigh, NC, US
Summary
The role involves proactively monitoring patient data and reaching out to assigned patients on a structured schedule to manage chronic conditions. Navigators help patients overcome barriers to care, such as insurance and transportation, while escalating clinical concerns to pharmacists.
Job Description
Description
You went into healthcare to take care of people, at Axil Health that is exactly what you'll do.
About Axil Health
We partner our clinical pharmacist with physician practices and build care teams around them; navigators, technology, and the infrastructure to actually manage patients between visits, not just during them.
We currently support over 9,000 patients across 25+ practice locations, including partnerships with Corporate Medical Providers across the Carolinas and Virginia. Our outcomes are real: 59.7% of monitored patients reaching blood pressure goals, 55.8% achieving measurable A1C improvement, and over $3.2M in documented cost savings.
The principle we stand behind is built on: take care of the patient first, and the results follow.
What you'll do day-to-day:
- Reach out to your assigned patients on a structured schedule — some weekly, some monthly — based on their condition and risk level
- Review remote monitoring dashboards and proactively contact patients when data is trending in the wrong direction
- Help patients navigate real-world barriers: late refills, insurance questions, transportation, specialist coordination, copay assistance
- Document patient interactions using AI-assisted tools (less typing, more connecting)
- Escalate clinical concerns to an on-team pharmacist using clear protocols
- Assist to enroll newly eligible patients into the program
Why this work matters
Chronic disease is won or lost between appointments. The details between appointments matter just as much as the information shared during the appointment. Catching when a patient's blood pressure is quietly trending up, whether they understand their new medication, if a refill is stilling uncollected due to cost or transportation. We keep our patients engaged in their own care.
Requirements
Qualifications Needed:
- Certified Medical Assistants (CMA, CCMA, RMA, NCMA, or equivalent national certification)
- Licensed Practical Nurses (LPN) with an active NC license
- Registered Nurses (RN) looking to step away from bedside and into a structured, relationship-based model
- Pharmacy technician (Certified)
What you get:
- Compensation discussed at interview
- Company-sponsored insurance options: Medical, Dental, Vision
- Company Paid Short Term Disability
- Long term Disability
- Term Life Insurance Options
- 401(k)
- 15 days PTO to start
- Paid holidays + 2 additional floating holidays to use at your discretion
- Quarterly performance bonuses tied to quality and outcomes metrics
- Paid training that supports how you learn
- Schedule: Monday-Friday 8am- 6pm (Flexible to support lifes needs) Overtime offered for Saturday and Sunday
- *36+ hours/week required for full-time benefits eligibility
Career path: Care Navigators at Axil have moved into team lead roles, training and onboarding positions, process improvement, and IT.
About the company
On Track Technologies Incorporated
Axil Health distinguishes itself in the healthcare industry not only through its comprehensive range of clinical services but also through its strategic emphasis on technology and a unique approach to care delivery by placing actual pharmacists inside clinics or health systems. This integrated model ensures that patients receive the highest level of care, combining innovative technology solutions with personalized, expert care coordination.
The proprietary technology platform developed in-house is a cornerstone of Axil Health's approach to healthcare delivery. This platform supports all aspects of the organization's services, from Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) to Transitional Care Management (TCM) and Annual Wellness Visits (AWVs). It enables efficient management of patient data, enhances care coordination, and facilitates seamless communication between patients and their healthcare providers. By leveraging cutting-edge technology, Axil Health can provide a more proactive and predictive approach to patient care, ensuring timely interventions and improved health outcomes.
About the company
On Track Technologies Incorporated
Axil Health distinguishes itself in the healthcare industry not only through its comprehensive range of clinical services but also through its strategic emphasis on technology and a unique approach to care delivery by placing actual pharmacists inside clinics or health systems. This integrated model ensures that patients receive the highest level of care, combining innovative technology solutions with personalized, expert care coordination.
The proprietary technology platform developed in-house is a cornerstone of Axil Health's approach to healthcare delivery. This platform supports all aspects of the organization's services, from Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) to Transitional Care Management (TCM) and Annual Wellness Visits (AWVs). It enables efficient management of patient data, enhances care coordination, and facilitates seamless communication between patients and their healthcare providers. By leveraging cutting-edge technology, Axil Health can provide a more proactive and predictive approach to patient care, ensuring timely interventions and improved health outcomes.
