Patient Care Navigator

Healthcare Outcomes Performance Company•Westfield, IN

2d•Remote

About The Position

This is a 100% remote position within the Orthopedic MSK Digital Care Team. The Patient Care Navigator will assist with overseeing daily departmental tasks including inbound calls, fax referrals, and emails. They will support Care Managers, monitor patient progress towards desired outcomes, and identify/resolve barriers to effective patient care. The role also involves improving documentation quality, collaborating with various healthcare professionals and patients, and monitoring clinically low-risk cases. The Navigator will advise on new or concerning clinical issues and ensure quality care. They will accept referrals, identify patients for care management, and uphold the organization's values and mission. Additionally, the role assists with program planning, development, and evaluation, and performs other related duties as assigned.

Requirements

Medical Assistant or Certified Nursing Assistant degree or equivalent working knowledge preferred.
Minimum three (3) years of certified nursing assistant or medical assistant experience is preferred.
One-year experience in a medical business office, physician’s office, or hospital environment is preferred.
Experience in value-based care / population health is preferred.
Experience in orthopedics or musculoskeletal specialty is preferred.
Knowledge of the health care field and orthopedics.
Knowledge of policies and procedures concerning patient care.
Knowledge of patient confidentiality, state laws, HIPAA regulations, and medical records procedures.
Knowledge of medical practices, terminology, and reimbursement policies.
Knowledge of Microsoft Office applications.
Skill in follow-up with patients and responding to inquiries promptly.
Skill and professionalism when interacting with providers, patients, family members, and the public.
Skill in understanding patient education needs by effectively sharing information with patients and families.
Skill in problem-solving and time management.
Skill in evaluating the effectiveness of existing methods and procedures.
Skill in verbal and written communication.
Ability to read, interprets, and applies policies and procedures.
Ability to set priorities among multiple requests.
Ability to interact with patients, medical and administrative staff, and case managers effectively.
Ability to work in a fast-paced environment.
Must have a designated workspace if working from home.

Responsibilities

Assists with overseeing the daily inbound calls, fax referrals, emails and tasks for the department.
Assists Care Managers in performing assigned tasks.
Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through assessment and evaluation.
Identifies and resolves barriers that hinder effective patient care.
Improves quality and completeness of documentation.
Collaborates with patients, families, nurses, physicians, and other members of the team, building consensus around issues and appropriately resolves in a timely manner.
Documents in a clear, complete, concise, and organized manner.
Monitors clinically low risk cases.
Advises Care Manager and/or Medical Director of any new and/or concerning clinical issues.
Institutes necessary actions to promote quality care and appropriate.
Accepts referrals and identifies patients who meet the criteria for care management.
Adheres to and supports team members in exhibiting HOPCo’s values and mission.
Assists with program planning, development, and evaluation.
Performs related duties as assigned.
Performs other CIN duties as assigned.