Clinical Patient Navigator (CMA/CNA)

Healogics•Parker, CO

About The Position

The Clinical Patient Navigator supports the operation of an outpatient wound care center through a dual administrative and clinical role, helping streamline workflow and provide effective, exceptional patient care. The role manages front-office functions and performs general office duties to assist the Wound Care Center (WCC) staff. Clinical duties are performed under the direction of an RN or provider, within the employee’s scope of practice, applicable hospital protocols, policies and procedures, and documented competencies where required. Employees must follow applicable Healogics and hospital policies, accrediting organization requirements, federal and state regulations, and Centers for Medicare and Medicaid Services (CMS) guidelines. Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. The company works through outpatient clinic partnerships to provide its wound care services to patients who could benefit from expert care.

Requirements

  • High school diploma or GED.
  • Graduation from a Certified Medical Assistant (CMA), Emergency Medical Technician (EMT), or Certified Nursing Assistant (CNA) program approved by CAAHEP or ABHES.
  • Current CMA, CNA, or EMT certification licensed in the state of employment, maintained throughout employment in the position.
  • At least two years of office administration experience.
  • Demonstrated competency in BLS (Basic Life Support).
  • Proficiency in Microsoft Office, including Word, Excel, and Outlook.
  • Good customer service, interpersonal, and oral and written communication skills.
  • Organization and time-management skills.
  • Basic math skills and attention to detail.
  • Ability to maintain confidentiality.
  • Ability to work in a fast-paced environment, manage multiple projects simultaneously, and work with others in a team environment.

Nice To Haves

  • Associate’s degree preferred.
  • Office administration experience in a medical setting, acute hospital, rehabilitation hospital, or skilled nursing unit preferred.
  • Prior medical coding experience preferred.

Responsibilities

  • Coordinate with Center leadership to maximize the daily patient census.
  • Participate in staff meetings to support key Center functions.
  • Greet patients and visitors, answer calls, and route calls to appropriate staff.
  • Manage patient communications, including scheduling, rescheduling, appointment reminders, and provider scheduling according to the care continuum model.
  • Obtain and verify patient insurance information, including pre-certifications and pre-authorizations, and enter data into appropriate databases.
  • Collect and enter patient charges, verify and reconcile charges as directed, and prepare and transmit monthly patient survey data and documentation to providers.
  • Assemble new patient charts, maintain and file existing charts, and spot-check charts for completeness and signatures.
  • Coordinate and schedule ancillary testing with other hospital departments.
  • Arrange patient transportation as needed.
  • Maintain office equipment and supplies, as well as medical supplies as directed.
  • Under RN or provider direction, provide wound-related patient care within approved protocols, policies, procedures, scope of practice, and documented competencies.
  • Assist with patient intake and discharge within scope of practice and applicable hospital bylaws and skills competencies.
  • Perform hyperbaric oxygen therapy-related duties as needed after required Healogics training and skills competency are completed.
  • Assist in the Vein Clinic within scope of practice after completing applicable Healogics Vein Clinic training.
  • Gather patient information and obtain equipment and supplies for the RN or provider.
  • Report quality-of-care issues to the Clinical Nurse Manager.
  • Communicate with team members about therapeutic interventions to support quality of care.
  • May serve as a Documentation Assistant (scribe) in accordance with Healogics policy.
  • Perform other duties as required.
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