Population Health Navigator II

Cleveland Clinic

17h•Remote

About The Position

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Population Health Navigator, you will coordinate population health activities in collaboration with the primary care team. In this role, you will take a comprehensive, holistic, and proactive Patients First approach, demonstrating outstanding customer service while managing responsibilities such as appointment scheduling, connecting patients to resources, navigating the Cleveland Clinic Health System network, and following up on general or health related questions. You will assist with coordinating care, processes, activities, and duties of the Ambulatory Care Management Department, Cleveland Clinic Community Care, and the Quality Alliance in order to ultimately improve patient outcomes, enhance the patient and caregiver experience, and reduce the overall cost of care. A caregiver in this role works days from 8:00 a.m. – 4:30 p.m. or 8:30 a.m. – 5:00 p.m. To be considered for this position, caregivers must reside in Florida and may be required to come onsite or meet a few times per year within the area.

Requirements

High School Diploma or GED and three years of recent experience working with patients in a clinic setting or other equivalent position, including interacting with patients, physicians, and other departments in a collaborative manner OR Associate’s or Bachelor’s Degree and two years of experience
Knowledge of data collection, analysis, and proficiency in Microsoft Office
Experience in providing exceptional customer service and conflict resolution
Working knowledge of HIPAA regulations

Nice To Haves

Associate’s or Bachelor’s Degree
Knowledge of medical terminology
EPIC knowledge

Responsibilities

Collaborate with caregivers across the continuum to assist in patient navigation for low, moderate and rising risk patients.
Perform activities to proactively close care gaps, assist with health maintenance, schedule office and preventative care visits and assist with navigating health insurance benefits and coverage.
Outreach can occur via telephone, letter, or MyChart.
Perform data gap closure in the payor portals.
Assist with coordinating population health activities to help improve quality and safety outcomes for an assigned patient population.
Assist with PCP fidelity.
Perform onboarding and off-boarding activities to assist patients with seamless provider-related transitions.
Facilitate care and connection to Cleveland Clinic services with benefit alignment.
Pend orders for PCP and schedule follow up appointments.
Serve as liaison between the navigation and primary care team members, insurance companies, and patients.
Provide coaching, support and coverage to peers.
Review clinical documentation and coding to determine that conditions are actively being managed including staff messages to providers.
Participate in educating patients about Cleveland Clinic services and network navigation, promoting available programs and services.
Maintain departmental workflow and communications with external and internal customers.
Assist with Ambulatory Care Management, Value Based Operations, Cleveland Clinic Community Care and Quality Alliance initiatives.
Complete duties with minimum direct supervision.
Perform other duties as assigned.