Managed Care Patient Navigator

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

Education:  Minimum high school graduate or equivalent; graduate of a Certified Medical or Dental 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

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

License(s)/Certification(s) Required:   CPR Certification

Essential Functions

• Monitor a caseload of managed care patients for compliance with appointments, prescriptions, immunizations, education and health/dental care utilization
• Communicate noncompliance to members of the health care and dental team for appropriate intervention
• Schedule patient appointments, make reminder appointment calls, contact patients that have missed scheduled appointments
• Follow-up on patient referrals
• Monitor specified laboratory results and immunizations
• Monitor and request patient medication refills to ensure compliance; Contact patients for missed refills (asthma medications, prenatal medications, etc.)
• Refer patients to appropriate education/support services (prenatal care, asthma cluster, etc.)
• Provide printed education for appropriate disease states (pregnancy, asthma, etc.)
• Monitor and track patient participation in education/support services
• Communicate with patients to determine barriers to care (transportation, access, etc.)
• Work effectively with the healthcare and dental team to alleviate barriers to care
• Track ER, hospital, and UC patient visits
• Educate patients on appropriate use of ER/UC
• Prepare and distribute mailings to patients
• Work independently within a team environment
• Provide a weekly report of interventions completed
• Effectively work with other healthcare and dental team members to ensure coordination of care

Current Openings for Managed Care Patient Navigator Jobs at Affinia Healthcare