About The Position

The Annual Wellness Visit (AWV) Navigator works under the direction of the Population Health Manager to prepare upcoming Annual Wellness Visits for qualifying patients. The role identifies, addresses, and monitors preventive care measures for a specified patient population by pre-populating the electronic medical record and coordinating with patients, physicians, and clinic staff. Patient contact and clinical interviews may take place by telephone or telemedicine, with in-person assistance provided when necessary. The position also maintains reports on patient outreach, visit status, and preventive care gaps; reschedules visits in accordance with provider preferences; and uses the EMR and practice management systems to document and manage patient information. The employee is expected to follow confidentiality, compliance, infection prevention, OSHA, HIPAA, and CLIA requirements and to represent Galen Medical Group professionally.

Requirements

  • High school diploma or equivalent.
  • At least three years of healthcare experience, including three years of clinical experience.
  • Excellent customer service skills.
  • Strong independence, organization, verbal and written communication, problem-solving, professional interaction, human relations, and analytical skills.
  • PC literacy and strong computer navigation skills, with extensive knowledge of Windows and Microsoft Office.
  • Knowledge of basic medical terminology.
  • Ability to build teams and participate in cross-functional teams.
  • Ability to work within specified timeframes, including timeframes for goal achievement.
  • Ability to handle difficult situations involving patients, physicians, or others professionally.
  • Ability to work independently, exercise creativity, attend to detail, maintain a positive attitude, manage simultaneous responsibilities, and complete assignments efficiently and on time.
  • Compliance with organizational policies and ethical business practice standards.
  • Pre-employment drug screen required.

Nice To Haves

  • At least two years of experience in Utilization Management, Case Management, or Care/Disease Management.

Responsibilities

  • Identify, address, and track quality measures and preventive services by pre-populating Medicare Annual Wellness Visits.
  • Contact patients before their AWV to explain its goals and steps.
  • Conduct telephone or telemedicine clinical interviews to complete health record inventories and health risk assessments and prepare the medical record before the patient-provider encounter.
  • Apply evidence-based clinical guidelines and HEDIS quality measures to patient and insurance-policy needs.
  • Coordinate the AWV experience with aligned physicians and clinic staff, including documentation completeness, preventive care needs, and patient concerns.
  • Assist with in-person AWV health inventories, health risk assessments, and chart pre-population when needed.
  • Maintain reports on patients contacted and not contacted, visit status, open gaps, and gap status.
  • Organize and prioritize tasks to complete duties on time.
  • Reschedule Annual Wellness Visits in the Practice Management system as needed and according to provider preferences.
  • Use EMR features, including faxing, managing CCDAs and order tracking, changing statuses, and entering health-related information in the appropriate part of the medical record.
  • Communicate clearly with patients, team members, and the manager; introduce yourself to patients in the office when the schedule allows.
  • Attend meetings, staff meetings, and in-services as requested or directed.
  • Learn Galen services and make recommendations to patients when appropriate.
  • Maintain patient confidentiality and follow compliance, HIPAA, infection prevention, OSHA, and CLIA requirements.
  • Support the organization's mission and values, participate in performance and continuous quality improvement, and maintain professional and technical knowledge through continuing education.
  • Report to work on time, wear identification during work hours, and complete other duties assigned by management.
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