Patient Navigator

PrimeHealth+•Grand Junction, CO

1d•Onsite

About The Position

As a patient navigator, you will build working relationships, solve problems, and support patients while they learn to self-navigate the health care system.

Requirements

High School or equivalent required.
Computer literate.
Good communication skills.
Ability to withstand stress in a high activity area.
Must be current or willing to be vaccinated for TDAP (up to date booster).
Must be current or willing to be vaccinated for MMR series.
Must be current or willing to be vaccinated for Varicella.
Must be current or willing to be vaccinated for HEP B series.
Must be current or willing to be vaccinated for Flu Shot.
Must be current or willing to be vaccinated for TB Screening.

Nice To Haves

Medical terminology.
3-6 months previous experience in a health care setting or related industry.
Previous insurance knowledge.

Responsibilities

Works with providers and patients in planning of patient care needs. Responsible for knowing the scheduling guidelines and be able to accommodate urgency of the appointments with specialists. Responsible for knowing the appropriate providers to schedule patients with for referrals. Performs patient education regarding their referrals and coordination of care. Responsible for referral follow-through once the appointment has been completed.
Works closely with clinical staff to maintain well documented and supportive patient flow with regards to referral opportunities and tests as necessary. Documents the patient information appropriately in computer systems for positive patient outcomes. Maintains and updates systems to track patient information appropriately.
Coordinates and works closely with other community clinical areas to support the patient for necessary tests and procedures. Familiar with community resources and maintains a positive relationship with community entities that offer support. Works closely with CMO to maintain referral contracts.
Medicaid pre-authorizations for imaging and procedures as needed. Requires great attention to detail and patient care necessities.
Participates in strategic clinic meetings as necessary (i.e.: Quality improvement, EMR Committee, Clinic Committee).
Visits with patients as needed during the clinical hours to ensure timely prior authorization steps and to facilitate timely scheduling.
Maintains cohesive relationships with clinical departments, Medical Providers, and other Medical Office Staff to ensure seamless work flow within the departments (i.e. huddles).
Assists patients with navigation to community services such as; DHS, community outreach for financial services, legal services, migrant farmworkers, child and migrant services and specialty offices.
Coordinates WWC, CCSP, and CRCCP requirements, patient flow, and recall. Completes all billing for grant programs.
Manages patient recall lists. This may include calling patients and rescheduling them for appointments to ensure proper tests or imaging have been performed. This includes handling health maintenance reports for registry purposes and relaying health maintenance results to the patients.
Documents the patient information appropriately in computer systems for positive patient outcomes. Maintains and updates systems to track patient information appropriately. Reports on statistical information and outcomes as required.