Clinical Patient Navigator

Healogics•Antioch, CA

10d

About The Position

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 Clinical Patient Navigator manages front-office functions and general office duties to support the smooth operation of a dynamic outpatient wound care center. The role combines administrative and clinical responsibilities to streamline workflow and provide effective, exceptional patient care. Employees must follow Healogics and hospital policies, accrediting-organization requirements, applicable federal and state regulations, and Centers for Medicare and Medicaid Services guidelines. The position coordinates patient scheduling and communications, insurance verification and authorizations, patient charges, charts, ancillary testing, and transportation. Under the direction of an RN or provider, the navigator may also provide wound-related care within approved protocols, policies, scope of practice, and documented competencies. Additional clinical duties may include assisting with intake and discharge, hyperbaric oxygen therapy, or a Vein Clinic after the required training and competency completion.

Requirements

High school diploma or GED.
Graduate of 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 Basic Life Support (BLS).
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 at once, 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, and appointment reminders; schedule providers 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.
Prepare monthly patient survey data and documentation and transmit it to providers.
Assemble new patient charts, maintain and file existing charts, and spot-check charts for complete data and signatures.
Coordinate and schedule ancillary testing with other hospital departments.
Arrange patient transportation as needed.
Maintain office equipment and supplies and medical supplies as directed.
Provide wound-related patient care under RN or provider direction and within hospital protocols, policies, scope of practice, and documented competencies.
Assist with patient intake and discharge within scope of practice, hospital bylaws, and completed skills competencies.
Perform hyperbaric oxygen therapy-related duties as needed after required training and competency completion.
Assist in the Vein Clinic within scope of practice after completing applicable training.
Gather patient information and obtain necessary 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.
Function as a Documentation Assistant (scribe) in accordance with Healogics policy, when applicable.
Perform other duties as required.