Clinical Health Navigator | 40 Hours per Week | Population Health

Great River Health•West Burlington, IA

1d•$23•Onsite

About The Position

The Clinical Health Navigator (CMA/LPN) supports patient-centered care and population health by proactively navigating patients through preventive screenings, chronic disease follow-up, and care plan adherence to close care gaps and improve health outcomes. This role partners with primary care teams to facilitate orders, complete MSSP requirements, and perform data abstraction to ensure accurate Health Maintenance tracking and continuity of care. This role will work in an interdisciplinary, collaborative manner to provide the best care possible to our patients, assist patient in navigating the health care system, and overcoming barriers to care.

Requirements

H.S. Diploma or General Education Degree (GED) Required
Graduation from an accredited program for medical assistants Required
Dependent Adult Abuse Mandatory Reporter - Iowa Department of Human Services within 180 Days Required
Child Abuse Iowa Mandatory Reporter - Iowa Department of Human Services within 180 Days Required
Computerized physician order entry (CPOE training) will be required within 60 days of hire for Medical Assistants.

Nice To Haves

Graduate from an accredited school of nursing Preferred
1-3 years Experience in community outreach, public health, health promotion, education or health care strongly recommended Preferred
1-3 years Experience with Microsoft Suite (Word, Excel, PowerPoint, Outlook, and Teams) Preferred
1-3 years Experience with Customer Service. Preferred
Does not let important details slip through the cracks.
The ability to develop, maintain, and strengthen partnerships with others inside and outside the organization who can provide information, assistance, and support.
Communicate verbally with patients and co-workers in a clear and effective manner.
The understanding, consideration and appropriate response to cultural variables (e.g. age, gender, race, religion, ability, socioeconomic status, etc.) in communicating/interacting with varying patient interactions.
Listens to staff and other sources; Ask questions to ensure he/she understands the staff member(s) ideas and perspectives; Shows listening with body language and action; Is perceived as easy to talk to about things.
Demonstrates the desire and ability to work with different personalities to accomplish a common goal.
Effectively demonstrates the ability to coordinate multiple activities and documentation effectively.
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Communicate verbally with patients and co-workers in a clear and effective manner
Ability to conduct presentations on health and wellness activities and self-management of health concerns
The ability to demonstrate a working knowledge of computer, gathering and inputting data.
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Ability to act professionally and effectively and does not cut corners ethically.
Earns trust by providing follow up and constant communication on requests.
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
The ability to notice, interpret, and anticipate others’ concerns and feelings, and to communicate this awareness empathetically to others.
The ability to listen to and understand information and ideas presented through spoken words and sentences.
The ability to communicate information and ideas in speaking so others will understand.
Demonstrates an ability to relay information in a timely and appropriate manner.
The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
Psychology ability to connect with and provide ongoing support in a behavior change process.
Actively looking for ways to help people.
Being aware of others' reactions and understanding why they react as they do.
The ability to read and understand information and ideas presented in writing.
The ability to communicate information and ideas in writing so others will understand.
Certified Medical Assistant American Association of Medical Assistants (AAMA) (United States of America) Upon Hire Preferred
Licensed Practical Nurse Iowa Board of Nursing (IBON) (United States of America) Upon Hire Preferred

Responsibilities

Collaborate with PCPs and health navigators to complete Care Coordination Assessments (CCAs) within scope of practice
Track and prioritize outstanding CCAs to ensure timely completion
Review CCAs for completeness, accuracy, and quality standards before submission
Promotes clear communication amongst all care team members including awareness of patient care plans, updates on care gaps, and data discrepancies
Participates in quality improvement initiatives and meetings as needed.
Helps to evaluate program, resources and development of new tools, forms and procedures.
Identify and monitor open care gaps through reporting tools and registries
Facilitate order placement (labs, screenings, referrals) per standing protocols or provider direction
Coordinate with clinical staff and patients to ensure completion of ordered services
Document actions taken and update systems to reflect gap closure activities
Perform manual chart abstraction from Cerner to validate and update health maintenance items
Ensure accurate entry of preventive care measures, screenings, and immunizations
Support continuity of care by maintaining reliable patient data beyond system conversions
Identify patients overdue for visits, labs or referrals and arranging for follow-up services as appropriate.
Identify patients not meeting clinical goals and arranging for follow-up services as appropriate.
Identify needed preventive health maintenance, immunization and chronic disease interventions.
Address medication adherence with patient.
Provides or arranges needed patient education regarding specific health care skills and general disease concepts.
Communicate face-to-face in the office setting and by telephone or patient portal.

Benefits

Competitive base pay
Matching retirement programs
Health, Dental and Vision plans
Health Savings and Flexible Spending Accounts
Employee discounts including car rental, cell-phone plans
Employer-paid, Long-Term Disability, Life, and AD&D
Paid time off (PTO)
Education Assistance Program
Employee Assistance Program
Employee Referral Bonus Program
Discounted cafeteria meals
Paid Parental Leave
Employee Service Recognition program
Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity