Referral and Resource Navigator

Peak Vista Community Health Centers•Colorado Springs, CO

13d•Onsite

About The Position

The Referral and Resource Navigator’s primary role is to assist identified patients with identifying barriers to effective care, assisting the patient in working with community resources to overcome these barriers and is key in obtaining medically appropriate services through referral processing inside and outside of the Peak Vista Community Health Centers. Employee demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements. The employee enhances the effectiveness; efficiency and productivity of the department by contributing to, and participating in, departmental performance improvement goals.

Requirements

High school diploma or equivalent education.
Minimum 1-year experience in a healthcare or social service setting is required.
Basic computer skills: ability to access the intra/internet to manage timecard, review policies and procedures, and read company communications; use e-mail to communicate with co-workers, leadership, and other departments; enter and correct data, modify a workbook, format a worksheet, and use printing functions; create a simple presentation in PowerPoint, run it, and print it.
CPR Certification to be obtained within the first 90 days of employment.

Nice To Haves

Spanish bilingual preferred.

Responsibilities

Clinical and Social referral Navigation.
Supports referral process through to completion or closure.
Utilizes all referral processes applicable to the payor source, including pre-certifications and prior authorizations.
Collaborates with clinical staff, support teams, and community providers to ensure smooth transition to the most suitable level of care.
Promotes patient education and care plan activities in order to reduce hospital readmission rates through interdisciplinary collaboration to achieve measurable patient outcomes.
In addition to promoting and coordinating healthcare services, with cost effective solutions, the Resource Navigator contributes to the implementation of the member’s care plan.
Promotes and demonstrates the mission, vision, and Core Values of Peak Vista.
Develops and maintains good working relationships with all departments, the management team, medical staff, and leadership.
Embraces cultural diversity amongst ourselves and our community.
Responsible for the human, financial, and material resources as well as data and information entrusted to us.
Strives to deliver the best outcomes and highest quality service.
Demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements.
Enhances the effectiveness; efficiency and productivity of the department by contributing to, and participating in, departmental performance improvement goals.
Other duties as assigned