Patient Navigator-Marillac Clinic - Grand Junction, CO
Description
PART I: REFERRALS AND AUTHORIZATIONS
Works
with providers and patients in planning of patient care needs.
Responsible for knowing the scheduling guidelines and be able to
accommodate urgency of the appointments with specialists. Responsible
for knowing the appropriate providers to schedule patients with.
Performs patient education regarding their referrals and coordination of
care. Responsible for referral follow-through once the appointment has
been completed
Works
closely with clinical staff to maintain well documented and supportive
patient flow with regards to referral opportunities and tests as
necessary. Documents the patient information appropriately in computer
systems for positive patient outcomes. Maintains and updates systems to
track patient information appropriately.
Coordinates
and works closely with other community clinical areas to support the
patient for necessary tests and procedures. Familiar with community
resources and maintains a positive relationship with community entities
that offer support. Works closely with CMO to maintain referral
contracts annually.
Medicaid
pre-authorizations for imaging and procedures as needed. Requires great
attention to detail and patient care necessities.
Participates in strategic clinic meetings as necessary (i.e.: Quality improvement, EMR Committee, Clinic Committee)
Visits
with patients as needed during the clinical hours to ensure timely
prior authorization steps and to facilitate timely scheduling
Maintains
cohesive relationships with clinical departments, Medical Providers,
and other Medical Office Staff to ensure seamless work flow within the
departments (i.e. huddles).
Assists
patients with navigation to community services such as; DHS, community
outreach for financial services, legal services, migrant farmworkers,
child and migrant services and specialty offices’
PART II:POPULATION MANAGEMENT
Coordinates WWC, CCSP, and CRCCP requirements, patient flow, and recall. Completes all billing for grant programs
Manages
patient recall lists. This may include calling patients and
rescheduling them for appointments to ensure proper tests or imaging
have been performed. This includes handling health maintenance reports
for registry purposes and relaying health maintenance results to the
patients
Documents
the patient information appropriately in computer systems for positive
patient outcomes. Maintains and updates systems to track patient
information appropriately. Reports on statistical information and
outcomes as required
Qualifications
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Education:
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High School Diploma or equivalent. Medical terminology preferred.
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Experience:
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Prefer
3-6 months previous experience in a health care setting or related
industry. Computer literate, good communication skills, ability to
withstand stress in a high activity area. Previous insurance knowledge
preferred.
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License / Certification / Registration
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n/a
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Organization: St. Mary's Medical Center, Grand Junction, CO
Primary Location: CO-Grand Junction
Department: SMG-Mrlc Clr-Team 1
Schedule: Full-time
Shift: Day Shift
Job Posting: Apr 13, 2016, 2:07:48 PM
FTE: 1
Administrative and Clerical Support
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