Patient Navigator

Health Services, Inc. is a progressive healthcare organization specializing in innovative quality patient care, integrating physical, mental and social well-being. HSI has served the community for over 50 years by providing patients with a full range of quality comprehensive services. We have 11 clinics located throughout the River Region, 2 mobile clinics, and 4 school-based clinics in partnership with Montgomery Public Schools.

HSI is looking for a Patient Navigator to join our team. The Patient Navigator is responsible for ensuring that patient-centered care is delivered to HSI patients through regular and timely scheduling, interviewing (telephonic or face-to-face), clinical data gathering for chronic care management, and/or transitional care management in coordination with the patient care team.

ESSENTIAL FUNCTIONS:

• Act as a guardian of high-quality medical data and demonstrate concrete knowledge of state and federal guidelines for the Health Insurance Portability and Accountability Act (HIPAA) and other privacy standards.
• Work with providers' clinical site of care as assigned to support the staff with care coordination of various patient population.
• May perform the duties of a case manager to assist patients in accessing available health care, social service, and related systems which contribute to physical and emotional health wellness of the patient.
• Assist with management of chronic care of Insured patients.
• Assist patients in understanding their treatment options.
• Serve as an essential link between patients and all care providers.
• Facilitate appointments for physician consults/referrals and support services within established HSI protocol and procedures.
• Acts as a patient advocate and presents their needs and preferences for care when supporting the procurement of services.
• Coordinates treatment programs by setting schedules and routines and follows up on services being provided.
• Monitors cases by verifying the patients' attendance with appointments and evaluating response
• Follow patients throughout the care continuum, including inpatient hospital admissions, as well as collaboration with hospital care management at the time of discharge.
• Assist Quality Improvement Nurse and Clinical staff with collecting data, tracking outcomes, and supporting HSI's strategic planning processes.
• Submit monthly referral report to the Patient Navigator Coordinator, Director of Case Management/Referrals, and Chief Clinical Officer (CCO).
• Charts health data information as appropriate in medical records.
• Maintains departmental and patient files and records in accordance with prescribed administrative, medical, and work standards.
• Assist with outreach efforts to establish and maintain positive working relationships with key customers (physicians, office staff, nurses, ancillary staff, and case management staff).
• Assist with training of new HSI staff and providers as needed.
• All other duties as assigned by supervisor.

PHYSICAL REQUIREMENTS:

Combination of sitting, standing, walking, bending, lifting, carrying, speaking and listening on a regular basis.

EDUCATION, TRAINING AND EXPERIENCE:

• Associate degree in related field or Certified Medical Assistant required.
• Two (2) years of recent consecutive work experience as a Medical Assistant or related experience preferred.
• Possess knowledge of medical terminology, interpreting orders and developing a plan of managed care in accordance with physician request.
• Proven experience in the health care setting successfully performing care management and coordination of care duties.
• Knowledge of Electronic Medical Records (EMR).
• Proficient in English required, Spanish preferred.

KNOWLEDGE REQUIREMENTS, SKILLS, AND ABILITIES:

1. Must be able to read, write, speak, and understand the English language.

2. Ability to deal effectively with individuals from diverse backgrounds and cultures cooperatively and courteously, projecting a positive image.

3. Demonstrate excellent detail-oriented and organizational skills.

4. Strong oral and written communication and problem-solving skills.

5. Possess the ability and personality to influence positive health behavioral change in patients and engage them in proactive health activities.

6. Possess the flexibility to travel as needed

7. Act as a team player that works well with others.

8. Effectively multi-task under pressure, meet deadlines and deliver high-quality work.

9. Ability to learn and master an electronic medical record system.

10. Must be responsible, universally discreet, and protect the confidentiality of privileged communications and all medical, personal, and organizational records.

11. Ability to effectively train others.

Requirements:
- Previous Medical Assistant preferred.
- Previous experience in a healthcare setting, preferably in patient advocacy or case management.
- Knowledge of medical coding, discharge planning, and acute care processes.
- Familiarity with HIPAA regulations and patient privacy practices.
- Strong communication skills, both verbal and written, with the ability to effectively interact with diverse populations.
- Excellent organizational skills and attention to detail.
- Compassionate and empathetic approach when working with patients and their families.
- Ability to work independently as well as collaboratively within a multidisciplinary team.

Job Type: Full-time

Pay: From $13.52 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending