Managed Care Patient Navigator

POSITION SUMMARY: Facilitate the coordination of care by navigating patients through the medical and dental process to achieve desired outcomes

POSITION QUALIFICATION REQUIREMENTS

Education:

1. Minimum high school graduate or equivalent
2. Graduate of a certified Medical Assistant program preferred

Experience: Minimum three (3) years experience in a clinical setting required. Minimum one year EMR and patient scheduling experience required.

Skills and Abilities which may be representative but not all inclusive of those commonly associated with this position:

1. Excellent organizational skills
2. Experience with an EMR; Intermediate proficiency level with Outlook, Word and Excel
3. Good telephone skills
4. Good customer service and teamwork skills
5. Ability to maintain a professional attitude and demeanor at all times
6. Good verbal and written communication skills

Transportation Requirement: Must possess a valid driver's license and automobile with insurance coverage as required by the State of Missouri.

License(s)/Certification(s) Required:

CPR Certification

FUNCTIONS OF THE JOB

Essential Functions

1. Monitor a caseload of managed care patients for compliance with appointments, prescriptions, immunizations, education and health/dental care utilization
2. Communicate noncompliance to members of the health care and dental team for appropriate intervention
3. Schedule patient appointments, make reminder appointment calls, contact patients that have missed scheduled appointments.
4. Answers telephone calls in a professional and timely manner.
5. Assist clinic staff by faxing, scanning and receiving incoming information and distributing mail for patients from managed care plans.
6. Monitor and request patient medication refills, specified laboratory results and immunizations to ensure compliance
7. Contact patients for missed refills (asthma medications, prenatal medications, etc.)
8. Communicate with patients to determine barriers to care (transportation, access, etc.)
9. Work effectively with the healthcare and dental team to alleviate barriers to care
10. Track ER, hospital, and UC patient visits
11. Educate patients on appropriate use of ER/UC
12. Prepare and distribute mailings to patients
13. Work independently within a team environment
14. Provide a report of interventions completed and care gaps addressed
15. Effectively work with other healthcare and dental team members to ensure coordination of care
16. Assist with patient scheduling throughout the organization.
17. Provides back up support and additional training for Health Center Support Clerk and Patient Support Representative positions as required
18. Perform other duties as assigned

Marginal Functions:

1. Attend meetings
2. Assist in preparation of monthly reports
3. Assists in resolving patient complaints

Current Openings for Managed Care Patient Navigator Jobs at Affinia Healthcare