Patient Navigator-HOPD

Loma Linda • Loma Linda, CA

14h • $25 - $27

About The Position

The Patient Navigator coordinates patient access through the healthcare system from initial diagnosis or referral. The role gathers demographic, employment, and insurance information needed for registration; verifies insurance coverage and benefits; gathers medical information such as diagnostic procedures, operative notes, and progress notes; and requests authorization for services as ordered by providers. The navigator serves as a liaison among patients and families, outpatient clinics, primary care physicians, the hospital, and other support services, and assists patients in the clinic environment. The position supports the Hospital Outpatient Department’s care-delivery strategy and is accountable to the governance structure of Loma Linda University Medical Center and Loma Linda University Children’s Hospital. Other duties may be assigned as needed.

Candidates must understand and embrace the mission, purpose, and identity of Loma Linda University Health, a Seventh-day Adventist, faith- and values-based Christian institution.

Requirements

• High school diploma or GED.
• At least one year of experience in a medical office front-office setting and/or a hospital-based call center scheduling for multiple clinics or departments.
• Knowledge of medical terminology.
• Knowledge of age-appropriate vital sign parameters.
• Knowledge of medical insurance and its use in a hospital- or clinic-based facility.
• Knowledge of ICD-9 and CPT codes and their use in HMO authorizations.
• Ability to use office equipment and tools, LLEAP functions, the Trace fax system, and the CCS PEDI system.
• Ability to use Microsoft Word, Excel, PowerPoint, Outlook, and LLEAP systems.
• Effective communication skills, including telephone skills and etiquette; ability to communicate with people with differing levels of comprehension, including people who do not speak English.
• Resourcefulness, a positive response to changing circumstances, and the ability to maintain patient confidentiality and a supportive attitude toward patients, families, physicians, coworkers, and staff from other departments.
• Ability to interpret and understand patient records and reports, including diagnostic procedures and laboratory findings.
• Critical thinking, problem-solving, sound decision-making, and the ability to work well under pressure.
• Ability to organize and prioritize workload, multitask, recall information accurately, pay close attention to detail, perform basic math, assess and analyze data, and communicate synthesized information.
• Ability to work independently with minimal supervision.
• Sufficient sensory abilities to distinguish colors and sounds and to write, hear, read, speak, and see adequately for workplace communication and job tasks.
• Medical Assistant or Certified Nurse Assistant (CNA) certification.
• Basic Life Support (BLS) certification issued by the American Heart Association.

Nice To Haves

• One year of college.
• At least one year of experience working with pediatric patients.
• Spanish language skills.

Responsibilities

• Coordinate patients’ access through the healthcare system from initial diagnosis or point of referral.
• Gather demographic, employment, and insurance information necessary for registration.
• Verify insurance coverage and benefits.
• Gather medical information, including diagnostic procedures, operative notes, and progress notes.
• Act as a liaison between patients, families, outpatient clinics, primary care physicians, the hospital, and other support services.
• Request authorization for specific services as ordered by providers.
• Assist patients in the clinic environment.
• Perform other duties as needed.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED