Patient Navigator - Behavioral Health
About The Position
The Patient Navigator for Behavioral Health provides initial response and assessment for clients reaching out to the hospital for mental health services. Key responsibilities include scheduling mental health appointments, triaging crisis calls, and managing patient registration information. The role also involves verifying insurance coverage, communicating with providers and clients regarding scheduling and assessment recommendations, and conducting telephonic safety checks for acute clients. This position requires demonstrating knowledge and skills appropriate to the age of patients served, encompassing both physical and psychological needs.
Requirements
- Associate’s Degree plus a minimum of three years of experience or a Bachelor’s Degree.
- CPI certification within 90 days of start date into position.
- Current CPR Certification issued by American Heart Association within 90 days of start date into position.
- Maintain information as highly confidential.
- Ability to maintain professional boundaries and willingness to seek supervision.
- One year of previous experience in healthcare or a behavioral healthcare setting.
Nice To Haves
- Bachelors Degree in a Behavioral Health related field.
- Crisis line or crisis intervention experience.
- Substantial knowledge base of insurance plans such as commercial, managed care, and capitated plans (Medical/Medicaid/Workers Compensation).
Responsibilities
- Provides initial response to clients reaching out to the hospital.
- Conducts initial assessment of clients and schedules mental health appointments.
- Responds to and triages crisis calls.
- Registers, reviews and corrects patient registration information in the computer system.
- Verifies insurance coverage and eligibility on all Blue Cross HMOI members.
- Demonstrates the knowledge and skills necessary to provide care appropriate to the age of patients served. This includes knowledge of the physical and psychological needs of patients served and the ability to respond appropriately to those needs.
- Answers phone inquiries to determine needs of the client.
- Partners with team to respond immediately to urgent situations.
- Assists the client in determining what services are appropriate and if services meet the eligibility requirements per the HMOI plan.
- Schedules client appointments or refers client to contracted providers where appropriate.
- Enters data necessary for registration of client using departmental software program(s).
- Uses software program to assist in benefit verification, claims adjudication and other aspects of the HMOI contract support function when appropriate and needed.
- Assists in the communication to providers and/or clients regarding issues, such as, scheduling, releasing information, and assessment recommendations.
- Reviews various forms (i.e. Release of Information, Agreement and Authorization, etc.) with clients telephonically as necessary.
- Assists team on telephonic safety checks for acute clients.
- Other duties as assigned.
Benefits
- Eligibility for our Annual Incentive Plan, which offers the potential to earn a certain percentage amount of your base salary based on organizational performance.
- Premium pay such as shift, on call, holiday and more based on an employee’s job.
- Incentive pay for select positions.
- Opportunity for annual increases based on performance.
- Career Pathways to Promote Professional Growth and Development.
- Various Medical, Dental, Pet and Vision options.
- Tuition Reimbursement.
- Free Parking.
- Wellness Program.
- Savings Plan.
- Health Savings Account Options.
- Retirement Options with Company Match.
- Paid Time Off and Holiday Pay.
- Community Involvement Opportunities.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
Number of Employees
1,001-5,000 employees
