Patient Care Navigator

ESSENTIAL FUNCTIONS

• Assists withoverseeing the daily inbound calls fax referralsemailsand tasksforthedepartment.

• Assists Care Managers in performing assigned tasks.

• Ensurespatient is progressingtoward desired outcomes by continuouslymonitoringpatient care through assessment and evaluation.

• Identifiesand resolves barriers that hinder effective patient care.

• Improves quality and completeness of documentation.

• Collaborates with patients families nurses physiciansand other members of the teambuilding consensus around issuesandappropriately resolvesin a timely manner.

• Documents in a clear complete concise and organized manner.

• Monitors clinicallylowriskcases.

• Advises Care Manager and/or Medical Director of any new and/or concerning clinical issues.

• Institutes necessary actions to promote quality care andappropriate.

• Accepts referrals andidentifiespatients who meet the criteria for care management.

• Adheres to and supports team members in exhibitingHOPCosvaluesand mission.

• Assistswith program planning development and evaluation.

• Performs related duties as assigned. Performs other CIN duties as assigned.

EDUCATION

• Medical Assistant or Certified Nursing Assistantdegreeor equivalent working knowledgepreferred.

EXPERIENCE

• Minimum three (3) years ofcertified nursing assistant or medical assistantexperienceis preferred.

• One-year experience in a medical business office physicians office or hospital environment is preferred.

• Experience in value-based care / population health is preferred.

• Experience in orthopedics or musculoskeletalspecialtyis preferred.

KNOWLEDGE

• Knowledge of the health care field and orthopedics.

• Knowledge of policies and procedures concerning patient care.

• Knowledge of patient confidentiality state laws HIPAA regulations and medical records procedures.

• Knowledge of medical practices terminology and reimbursement policies.

• Knowledge of Microsoft Office applications.

SKILLS

• Skill in follow-up with patients and responding to inquiries promptly.

• Skill and professionalism when interacting with providers patients family members and the public.

• Skill in understanding patient education needs by effectively sharing information with patients and families.

• Skill in problem-solving and time management.

• Skill in evaluating the effectiveness of existing methods and procedures.

• Skill in verbal and written communication.

ABILITIES

• Ability to readinterprets andappliespolicies and procedures.

• Ability to set priorities among multiple requests.

• Ability to interact with patients medical and administrative staff andcase managerseffectively.

• Ability to work in a fast-paced environment.

ENVIRONMENTAL WORKING CONDITIONS

• Thepositionprovidesan option to work from working from homemusthave a designated workspace.

• Use ofstandard office equipmentincluding computers copiers printers etc.

PHYSICAL/MENTAL DEMANDS

• Requires sitting and standing associated with a normal office environment.

• Some bending and stretching arerequired.

• Manual dexterity using a calculator and computer keyboard.

ORGANIZATIONAL REQUIREMENTS

• HOPCoMission Vision and Valuesmust be read and signed.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities knowledge skills abilitiesand working conditions may change as needs evolve.