Patient Navigator

Neighborhood Health Association-posted 4 months ago

$20 - $20/Yr

Full-time

Toledo, OH

251-500 employees

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This position is responsible and accountable for assessing the Social Determinants of Health for our patient population to address and eliminate disparities and barriers, resulting improvement of service delivery. Works in collaboration with the Patient Centered Medical Home (PCMH) Care Team to facilitate and coordinate the patient's treatment plan.

Prepares PCMH Care Teams and individual patients for this walk-in clinic.
Develops comprehensive, collaborative Care Plan, based on the Provider treatment plan, evidence based chronic care guidelines, and patient/family goals for patients with chronic conditions and/or recent care transitions to promote treatment acceptance and adherence to Provider recommendations and instructions.
Monitors and facilitates the transition of patient care through various levels across the healthcare system.
Accepts referrals and manages Provider patient panels.
Reviews system-related tasks and email instructions throughout the day for management of daily responsibilities to follow all assigned patient cases effectively and thoroughly through to completion.
Serves as a supportive resource and community referral resource for homeless patients.
Uses Electronic Health Record (EHR) system, tracks navigation services, records all patient encounters, and contributes to clinic tracking workflows.
Adheres to clinic departmental policies and procedures, which include accreditation standards, Trauma Informed Care, Patient Safety initiatives, Patient Rights, and Health Insurance Portability and Accountability Act (HIPAA) Privacy standards.
Population specific risk management by registry and referral including direct patient care related to patient navigation duties to be performed via in-person, telephonic, and/or electronic communication.
Provide individual patient/family education and self-management support that is appropriate based on language, cognitive abilities, literacy level, learning style, cultural norms, patient preference, readiness for change and resources available.
Provide individual or group education regarding health conditions, self-management, or other population specific topics of healthcare.
Communicate changes in patient's status appropriately with the Care Team.
Identify and remove barriers when treatment goals are not met, care plan is not followed, or important referral appointments are missed.
Tracks program specific and patient-level quality measures to develop intervention approaches to improve data driven outcomes.

Experience in community health or social services experience required.
Community Health Worker (CHW) certification or social work degree highly preferred.
CPR certification, or willingness to attend CPR class and obtain certification required.
Must have dependable transportation and excellent attendance.
Have proven expertise in healthcare processes, critical thinking, and problem-solving.
Utilizes organization, prioritization, attention-to-detail, and follow-through.

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Matching retirement plan
Employee Assistance Program
11 paid holidays
Generous PTO

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