Patient Care Specialist

3 weeks ago

Wentzville, United States Compass Health Network Full time

Due to critical service need of the communities we serve, we are offering a $1500 sign-on bonus for Medical Assistants; additional $2500 for Nurses.* We are eager to continue to provide quality and compassionate care in our service areas and need you to make this happen

The Patient Care Specialist is part of the person-centered integrated care team and provides case management support to patients with no insurance or commercial insurance who receive services in the primary care setting in our Eastern and Central region.

This is a full-time, benefit eligible position working Monday - Friday 7:30 am to 4:00 pm.

Responsibilities Include:

  • Maintain the Referral for Testing/Procedures/Referral List
    o Gather pertinent information from physicians, nurse practitioners, nurses, and medical assistants to complete referrals/pre-certifications/prior authorizations
    o Contact various offices/facilities to obtain necessary information to accurately complete referral requests
    o Prepare and process all referral paperwork, including pre-certification and prior authorization requests
    o Work with the patient to schedule the test/procedure and follow up to see the appointment has been completed and request results/documentation from the provider
    o Respond to patient inquiries regarding health plan referrals
    o Assist patients in enrolling in Patient Assistance Programs for medications prescribed by their Medical Provider
    o Maintain inventory of Patient Assistance Program medications per patient, including log in/log out information
    o Maintain Patient Assistance Program enrollment and inventory
  • Complete call backs to patients regarding their test results per directives of the Medical Services Provider
  • Complete timely and accurate documentation of all support services provided to patients
  • See culturally competent services and service providers to meet the unique cultural needs of each patient and family member
  • Collaborate with Behavioral Health Services Department and/or Community Support Workers, as applicable
  • Maintain an accurate referral database
  • Assist with collection of specific patient data for annual Uniform Data System (UDS) report
  • Attend all trainings and/or staff meetings as required by Compass Health
  • Complete Medication and Durable Medical Equipment (DME) prior authorization and documentation as needed
  • Obtaining results from referrals, diagnostics, and other documentation from outside providers and entering in Electronic Health Record charting appropriately
  • Assist with information related to community resources specific to patient needs outside of the standard Primary Care
  • Other duties as assigned

  • High School/GED required
  • Associate's/Bachelor's in nursing preferred
  • At least two (2) years of equivalent work experience required if an associates degree or medical assistant certification is not obtained
  • At least two (2) years medical office experience required
  • Social work and behavioral health knowledge experience preferred
  • Knowledge of Microsoft Office Suite required
  • Ability to maintain confidentiality required

    LICENSURE/CERTIFICATION: Medical Assistant Certification required if (at least) two years of college or equivalent work experience is not obtained or Licensed Practical Nurse (LPN) and licensed under Chapter 335, RSMO preferred

    Compass Health Network is a nonprofit health care organization offering accessible, comprehensive, & compassionate behavioral health, substance use treatment, family medicine and dental services throughout Missouri. Our network of care includes Royal Oaks Hospital and Adapt of Missouri. We are both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC). Operating only from the highest ethical and professional standards, we provide access to innovative care designed to meet the health needs of the communities we serve. Our mission is "Inspire Hope. Promote Wellness."

    Why join us?

    We believe some of the most passionate people in the world work here. Our dedicated and talented staff are our most valuable asset. We strive to provide a work environment and services that are inclusive for our patients and our employees.

    At Compass Health Network, these are just a few of the benefits that we offer as an organization:

    • Competitive benefits
    • Advancement opportunities
    • Professional development
    • Licensure supervision
    • Mentor opportunities
    • Tuition reimbursement
    • Scholarship program
    • Employee Assistance Program
    • Headspace Access
    • Paid time off & Paid Holidays
    • NHSC Loan Repayment Participant
    We welcome inquiries from qualified individuals who want to be part of a team of hardworking, dedicated and compassionate employees whose work helps us aspire to our vision of full, healthy, productive lives for everyone. We look forward to meeting you

    *Signing bonuses paid as per bonus policy; exclusions may apply.

    Compass Health is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.

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