[Hiring] Patient Care Navigator @Healthcare Outcomes Performance Co. (HOPCo)

Role Description

• Assists with overseeing the daily inbound calls, fax referrals, emails, and tasks for the department.
• Assists Care Managers in performing assigned tasks.
• Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through assessment and evaluation.
• Identifies and resolves barriers that hinder effective patient care.
• Improves quality and completeness of documentation.
• Collaborates with patients, families, nurses, physicians, and other members of the team, building consensus around issues and appropriately resolves in a timely manner.
• Documents in a clear, complete, concise, and organized manner.
• Monitors clinically low risk cases.
• Advises Care Manager and/or Medical Director of any new and/or concerning clinical issues.
• Institutes necessary actions to promote quality care and appropriate.
• Accepts referrals and identifies patients who meet the criteria for care management.
• Adheres to and supports team members in exhibiting HOPCo’s values and mission.
• Assists with program planning, development, and evaluation.
• Performs related duties as assigned. Performs other CIN duties as assigned.

Qualifications

• Medical Assistant or Certified Nursing Assistant degree or equivalent working knowledge preferred.

Requirements

• Minimum three (3) years of certified nursing assistant or medical assistant experience is preferred.
• One-year experience in a medical business office, physician’s office, or hospital environment is preferred.
• Experience in value-based care / population health is preferred.
• Experience in orthopedics or musculoskeletal specialty is 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 read, interpret, and apply policies and procedures.
• Ability to set priorities among multiple requests.
• Ability to interact with patients, medical and administrative staff, and case managers effectively.
• Ability to work in a fast-paced environment.

Environmental Working Conditions

• The position provides an option to work from home. If working from home, must have a designated workspace.
• Use of standard office equipment, including computers, copiers, printers, etc.

Physical/Mental Demands

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.

Organizational Requirements

• HOPCo Mission, Vision, and Values must be read and signed.
• This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.