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Patient Navigator- West Pasco and Hernando Counties
3 months ago
The Patient Navigator is a liaison and an advocate between Premier Community HealthCare Group (PCHG) patients, caregivers, and health care providers to improve patient care in a complex health care system.
The Patient Navigator will assist the community health center target population with accessing and maximizing benefits from community services, clinical care, and/or health insurance.
Essential Duties and Responsibilities:
- Demonstrated ability to remove barriers to care for patients by researching and providing critical resources to help patients navigate through the complexities of healthcare services and systems.
- Demonstrated ability to determine eligibility, provide enrollment assistance or general education for various health insurance plans including the Federally Facilitated Marketplace (FFM), CHIP, and Medicaid, and/or Medicare.
- Identify and assist patients in navigating the complex healthcare systems, accessing care and/or payer coverage.
- Assess, collect, and document social determinants of health among patients to overcome barriers to care, such as literacy, food insecurity, transportation, housing, childcare arrangements, etc.
- Develop an in-reach engagement plan for the patients at the designated sites assigned, especially marginalized populations (MSAW, Homeless, Public Housing residents).
- Establish and maintain an updated community resource guide of current social service providers such as housing, employment assistance, food, childcare, transportation, education, etc.
- Maintain a strong referral network within the community.
- Demonstrated ability to document patient encounters accurately and efficiently.
- Complete reporting requirements according to organizational standards, including work plan with weekly schedules.
- Travel to other Premier sites, assist with health promotion events and community outreach.
- Contribute to community give back initiatives and be an advocate for Premier's mission
- Ensure patient confidentiality and EMR security at all times.
- Keep other care team members informed when situations occur that disrupt timely patient flow through site.
- Adhere to patient care needs and the core values of Premier Community HealthCare to provide a best-in-class patient experience.
- Work towards attaining department goals and drive Quality Improvement/Quality Assurance (QI/QA).
- Other duties as assigned.
Supervisory Responsibilities:
None
Knowledge, Skills, and Abilities:
- Ability to be organized with confidential patient material and adaptable in response to changing patient needs.
- Ability to utilize interpersonal skills and communicate effectively, verbally and in writing, with multiple levels within the organization.
- Ability to conduct community outreach and health promotion, which includes events that may be held after hours and/or on weekends.
- Ability to prioritize work, meet deadlines and produce quality results on time with attention to detail.
- Ability to write up reports for programs and events.
- Strong understanding of cultural competency with the target population.
- Broad base knowledge of community resources.
- Exceptional knowledge of community resources and working with people from diverse ethnic groups and backgrounds.
- General knowledge with Electronic Health Records (EHR)/Electronic Medical Records (EMR).
- Proficiency with office equipment, MS Office, and ability to adapt to using other automation systems, computer/software tools.
- Maintains a professional relationship and positive attitude with co-workers, patients, the entire organization, and the public.
- Maintains the highest professional work ethics.
- Displays enthusiasm toward the work, mission, and vision of the organization.
- Exceptional customer service skills and demonstration of empathy and compassion to a diverse patient population.
- Ability to communicate effectively, verbally and in writing with multiple levels within the organization.
- Excellent grammar, spelling and interpersonal skills.
- Exhibits honesty and ethical conduct, maintaining confidentiality and upholding Premier Community HealthCare's values in all interactions.
Qualifications:
- High School Diploma or GED required with three (3) years of experience as a patient and/or healthcare navigator, patient advocate, case manager, eligibility/enrollment specialist or related position.
- Associate's degree required without experience.
- Certified Application Counselor certification through the Centers for Medicare and Medicaid Services (CMS) or ability to achieve certification within 90 days of hire.
- Current Basic Life Support (BLS) certification
- Experience in conducting enabling assistance, patient advocacy, and/or outreach at community events.
- Bilingual (English/Spanish) preferred
- Obtain and maintain Epic certification/ annual compliance throughout employment
Working Conditions and Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- Ability to lift 20 lbs. regularly and 30 lbs.-50 lbs. occasionally.
- Ability to sit for long periods of time.
- Ability to travel across Pasco and Hernando counties for events, on-site support and building community relations.
- Direct exposure to computer screens.
- May be exposed to contagious/infectious diseases.
