CLINICAL NAVIGATOR
Clinical care guidance, 24/7
Transform traditional nurse advice line services into nurse-led omni-channel engagement that improves access, optimizes site of care, and delivers meaningful member engagement.
Expert clinical care delivered anytime,
with follow-up that drives measurable outcomes
A modern digital experience providing your members timely clinical guidance and efficient, reliable care navigation. Plans reduce avoidable utilization and improve satisfaction with a consistent, nurse-led, AI-supported experience.
Nurse-first approach
Members connect to registered nurses in seconds, not hours
URAC-accredited clinical operations and Schmitt-Thompson protocols ensure consistency
Evidence-based triage
Right site of care guidance
Personalized care directs members to appropriate care and next best actions
Digital literature and task-driven follow ups drive member confidence
Support through next steps
<30 sec
average time to
connect with a nurse
94%
issues resolved after
first nurse interaction
68%
redirected to lower-cost,
in-network care
Nurse-led clinical guidance,
with reliable care navigation
Clinical Navigator combines 24/7 nurse access with AI-supported triage
to help members get timely guidance, make better care decisions, and avoid unnecessary escalation.
Immediate nurse access
Members connect with a registered nurse in under 30 seconds, without callbacks or delays
Modern, omni-channel delivery
Go beyond telephonic-only call centers with nurse-led secure chat, SMS, and video including seamless call-to-chat and video hand offs for virtual assessments
Care guidance + connected navigation
Integrate with provider search and scheduling, digital health programs, and benefit guidance to get members the right care and drive network optimization
Clinical and utilization insights
Gain visibility into members needs, actions taken, and where they go next to improve clinical programs and outreach with data-driven decisions
Clinical Navigator in action
Discover how nurse-first triage and AI-supported workflows improve access, reduce avoidable utilization, and elevate the member experience.
“I liked the efficient communication and peace of mind I received that helped me handle all the things I had going on, which was unfortunately a lot. This service gave me a great possible solution I could try before going to the doctor, which I appreciate.”
— Regional Health Plan Member
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Deliver a unified, AI-powered care experience that’s safe, scalable, and entirely app-free.
Clinical Navigator
On-demand clinical triage
Provider Navigator
Provider finder and scheduling
Program Navigator
Digital health program guidance
Benefit Navigator
Intelligent benefit assistance
