Patient Advocate

2 weeks ago

Pittsburgh, United States Squirrel Hill Health Center Full time
Job DescriptionJob DescriptionSquirrel Hill Health Center (SHHC), a dynamic and growing Federally Qualified Health Center, is hiring a full time Care Team Patient Advocate. This is a hybrid position.

Job Summary:
The Patient Advocate will work with other primary care team members to support high-quality, well-coordinated, highly organized, patient-centered care for patients and their families/caregivers/support systems. The Patient Advocate will work in several capacities to support the assigned primary care teams.

Essential Support Functions:
Duties and responsibilities of the Patient Advocate may include but not be limited to -
  1. Referral Management - Review referral orders and ensure all necessary documentation is associated to facilitate transmission of orders with minimal delay. Manage closed loop referrals from outbound order processing to the receipt of inbound documentation to reflect care was provided.
  2. Order Tracking & Follow Up - Perform order tracking and follow up for specialty referrals, imaging (and other) orders to ensure timely completion and assist with any identified barriers to care.
  3. Prior Authorizations - Communicate with payers/health plans and external agencies to provide necessary information and utilization review data to facilitate timely prior authorization processes and documentation.
  4. Patient Scheduling & Reminders – Assist with patient scheduling processes and communication with patients to provide the information needed to promote continuity of care across the continuum.
  5. Patient Communication & Engagement – Interact with patients in an effort to understand and address patient needs and preferences in a culturally competent manner. Assist in identifying SDOH risk factors and aid in connecting patients to appropriate services and resources.
  6. Care Gap Closure – Promote closure of Care Gaps through targeted communication campaigns. Utilize patient engagement strategies to help route patients to their primary care team and promote essential preventative screenings and services to reduce risk and improve population health outcomes.
  7. Data Collection & Reporting – Provide each healthcare organization with routine data and reporting to demonstrate performance, quality, and value. Uses technology, such as Azera, and reports results at team meetings.
  8. Care Team Support - Collaborate with members of care team(s) and maintain timely, accurate, and appropriate documentation in EMR (and other HIT systems) per established protocols and best practices. Participate in team huddles and meetings as appropriate.
  9. Establishes and maintains effective, professional working relationships with all internal and external customers, including other healthcare offices and facilities.
  10. May be required to work on-site, when necessary, as determined by supervisor.
  11. Other duties as assigned.

Operational Excellence
  • Possess a professional, positive, team-oriented attitude.
  • Provides a positive patient-centered experience for every patient
  • Considers safety of patients a priority and works to support a safe patient experience
  • Adheres to professional scope of duties and responsibilities. Refrains from providing any clinical advice and/or making clinical judgements.
  • Maintains a current, up-to-date knowledge of Squirrel Hill Health Center’s policies and procedures
  • Create and maintain an efficient, highly productive work environment

Relationship Management
  • The Referral Specialist will work collaboratively with practice providers, clinical staff and ancillary care teams, patients, and families/caregivers to establish healthcare and lifestyle goals and maintain open lines of communication across the care team.
  • Engages others and models positive behaviors of team-based care philosophy.

Qualifications / Position Requirements
  • Preferred –
    • Previous healthcare experience
    • Previous experience working with electronic scheduling systems
    • Previous experience with electronic medical record systems
    • Familiarity with basic medical terminology
    • Basic knowledge of healthcare insurance (related to benefits, authorizations, and referrals)
    • Basic knowledge of healthcare related data and reporting
    • Bilingual (Spanish/English)
 
  • Required –
    • Must be 18 years or older
    • High School Diploma or equivalent
    • Ability to perform routine assignments independently
    • Demonstrates attention to detail and organizational skills
    • Excellent communication skills – verbal & written
Benefits:
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Disability Insurance
  • Life Insurance
  • Flexible Spending Account
  • 403B retirement 
  • PTO 
  • 8 Paid Holidays
EOE AA M/F/Vet/Disability

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