Clinical Navigator

Central Florida Health Care•Winter Haven, FL

5d•Onsite

About The Position

The Clinical Navigator will have direct and indirect patient care responsibilities. This position will work in collaboration with the clinical care team, including the Call Center, front check-in staff, nursing team, lab staff, and provider staff to ensure optimal outcomes for the patient’s health. The primary responsibility of this position is to educate the CFHC staff in delivering safe, high quality, and efficient care to the patient population regarding all Managed Care health care screenings. This position will focus on closing quality care gaps in conjunction with working special projects as assigned by DMC. This position will involve staff and patient involvement implementing an organization-wide multilevel program using evidence-based interventions. This position will also support the Managed Care Team in various capacities including education, training, and supporting HEDIS and STARS campaigns.

Requirements

Certification/Registration - Medical Assistants must be certified or registered and certified and registered Medical Assistants must maintain certification, OR Florida Licensed Practical Nurse (LPN)
Current CPR
High school diploma
Minimum of 2 years of experience as a Clinical Medical Assistant and/or License Practical Nurse
Experience with Microsoft Word, Excel, and PowerPoint
Experience with electronic health records

Nice To Haves

Substantial clinical experience may be used in lieu of CMA or LPN requirement
Joint Commission, and/or quality management
Knowledge of CDC Guidelines
Knowledge of OSHA and HRSA standards for healthcare
Knowledge of Managed Care guidelines
Knowledge of HEDIS and STARS Measures
Ability to work under tight deadlines and remain flexible
Exceptional team, communication, and written/oral skills

Responsibilities

Provides positive customer experiences with internal (co-workers) and external (patients and collaborative partners) customers
Maintains awareness of CFHC’s mission, vision, and overarching goal
Maintains understanding and knowledge of, and remains compliant with CFHC’s policies and procedures, particularly those pertaining to role
Compliant with OSHA, HRSA, and Joint Commission regulations and standards
Participates in QI team meetings, site meetings – when appropriate, and meetings for Moffitt Grant requirements, as well as other meetings when asked by supervisor
Develops relationships with front office staff (AMA’s/PCTAs), back office staff (LPNs, RNs, and providers), lab staff, call center staff, and QI team to identify smooth processes in the development of the screening process
Work with Moffitt key partners to ensure key deliverables are met throughout the grant period
Serve as the primary point of contact for the Moffit CARES-REACH (Colorectal Cancer Awareness, Research, Education and Screening-Rural Expansion, Access and Capacity for Health) research grant.
Serve on the Moffitt Cancer Center Advisory Board
Take part in the overall CARES-Reach strategic planning efforts and help to ensure that the research activities take into account the everyday practicalities of clinic fit, flow and functioning
Motivate and enhance cancer screening awareness among providers
Coach and navigate patients who do not respond to initial education by providers (do not return FIT kit, do not follow through with Mammogram or follow-up appointments for all cancer screening types)
Facilitate communication between the research team, providers, and staff as needed
Help to coordinate meetings at CFHC, and/or with Moffitt for effective communication for cancer screening activities
Assist in directing the required data abstractions and coordinate implementation of clinic processes including EMR queries to identify baselines and detect screening outcomes for the organization
Develop and implement Managed Care Campaigns to support HEDIS and STARS screenings and measures.
Pull care reports , monitor and update care gaps.
Works with Managed Care payors and collaborate managed care team to provide cross- functional support including patient outreach, communication.
Complete other duties assigned by Director of Managed Care to support the Managed Care Team.