Clinical Product Navigator

Fairview Health Services•St. Paul, MN

About The Position

Fairview is seeking a Clinical Product Navigator to provide centralized panel and population health management for health plan and provider payer products established in support of Accountable Care. The products aim to grow patient attribution and increase use of health care services within the Fairview Health Network, while transitioning care management and chronic disease management from partner health plans to the provider network. The navigator supports Fairview Medical Group (FMG) and Independent clinics with patient outreach and enrollment in programs and services, and coordinates safe, effective, efficient, patient-centered transitions across the health continuum. The role also serves as a resource and educator for patients, service staff, and clinical staff. This is a mobile position at 0.9 FTE (72 hours per pay period).

Requirements

At least 2 years of care coordination experience.
Outstanding communication and collaboration skills.
Patient-focused approach.
Patient advocacy skills.
Registered Nurse license in the State of Minnesota upon hire.

Nice To Haves

Bachelor of Arts degree.
3 years of RN experience and care coordination experience.

Responsibilities

Establish a population health management navigation process supporting care and case management across FMG and Independent clinics.
Partner with key stakeholders to establish best practices and standardization.
Assess, analyze, plan, and transition identified patients to appropriate care.
Facilitate timely referrals and foster positive relationships with FHN Independent providers.
Work with the service onboarding team and clinical offices to identify process improvements, reduce variation, and ensure effective and efficient use of resources.
Understand and evaluate workflows and continuously implement improvements.
Collaborate to reduce process variation.
Analyze newly attributed lives and referral data; manage risk stratification and identification; contact patients to explain programs and enroll appropriate patients in programs supported by their medical home.
Follow patient progress and identify gaps in care.
Serve as a liaison between patients, their chosen clinics, and the MSO, promoting patient-centered care based on jointly determined health care goals and priorities.
Collaborate with appropriate staff to coordinate transitions of care across the health care continuum.
Use or create EPIC shells and monitor patients through EPIC or other electronic medical records.
Contact patients to engage them in their plans of care.
Serve as a resource to patient care units, outpatient clinics, and medical staff regarding payer products and the panels to which patients are aligned.
Serve on task forces and committees related to product delivery and management.
Stay current on product enhancements and advances.
Consult with other areas regarding improvement opportunities.
Assist with research projects, which may include data collection, analysis, and evaluation, and identify research projects as appropriate.
Manage a database tracking high-risk patients, outcomes, and other specific categories.
Promote the program and assist with marketing efforts.
Identify opportunities for educational or promotional consumer materials.
Serve as a liaison for FMG and Independent providers regarding payer products.
Develop and maintain the critical competencies listed in the job description.