Patient Navigator

Universal Community Health Center•Los Angeles, CA

1d•Hybrid

About The Position

The Patient Navigator will be responsible for patient/member outreach activities related to managing chronic conditions, mainly hypertension and diabetes. The patient Navigator will provide direct support to patients in a 1:1 setting to ensure patients feel confident utilizing remote monitoring devices and understand how these tools will aid their health. This role is pivotal in guiding patients through their treatment journey. This role works as support to our Senior Program Director and will lead the remote patient monitoring program at UCHC.

Requirements

College degree preferred, but not required if candidate has relevant work experience.
Previous experience in member services/community outreach capacity; knowledge of regulatory requirements.
Good verbal communication skills, including ability to effectively communicate with internal and external customers
Knack for implementation of corrective action programs.
Experience in eCW pressed, but not required.
Superb computer competence, including experience with databases and Microsoft Office.
Knowledge of QA terms, tools, and methodologies.
Working knowledge of HRSA, FTCA, and FQHC-specific compliance requirements.
Strong communication and facilitation skills across multidisciplinary teams.
Ability to analyze data, identify trends, and implement solutions.
Proficiency in Microsoft or Google suite applications.
Bilingual-English/Spanish is required.

Responsibilities

Welcome patients into continuous care program(s) and review benefits and services included
Educate patients on the frequency and use of their assigned in-home monitoring devices
Patient Outreach calls or messages patients to troubleshoot equipment, encourage daily compliance, and provide basic health education.
Interpret and comply with quality assurance standards.
Ensure ongoing abidance by industry regulatory and quality requirements.
Documenting and reporting product or service quality levels.
Complete health risk assessments as necessary.
Monitor Payer data reporting requirements and upload all data payor data portals.
Present and monitor program performance that include enrollments, activity, and compliance
Meet program deliverables and organizational goals; including grant deliverables
Monitor all payer portals and respond to all insurance-driven requests for data, working with the QAQI team as necessary to complete data requests.
Conduct random chart audits for the clinical team.
Data entry, Answer, refer and/or follow-up via telephone, fax, email and mail with patient questions related to the program and specific needs of the patients. Triage to the appropriate Care team.
Maintains accurate documentation in google sheets or tracking logs.
Performs routine specialized procedures, such as setting up the iHealth products for the patients under established protocols.
Manages clinic inventories and medical supplies.
Educates and advises patients on specific medical issues within established parameters to include obtaining prescription information.
Directs patient flow following provider schedules/patient appointments.
Coordinates routine office activities and administrative functions to support clinic activities.
Other duties as assigned by the Senior Program Director.