Mgr Patient Care Navigator

4 weeks ago

Show Low, United States Summit Healthcare Regional Medical Center Full time

The following information is designed to outline the functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained.

General Position Summary:

The Patient Care Navigator leads the development, implementation, and administration of the organization's Patient Care Navigator team. This role will be responsible for establishing and maintaining best practices related to care coordination, healthcare collections, and navigation of payer specific guidelines. The Patient Care Navigator manager will also be responsible for oversight and communication of metrics related to pre-service collections, quality auditing, service recovery, and patient satisfaction. The candidate will provide work direction to subordinate staff in the day-to-day performance of their jobs and trains departmental staff as needed. This leader ensures that project/department milestones/goals are met and adhering to approved budgets. This role maintains extensive knowledge of department processes to include, but not limited to, pre and patient access functions, collection activity, budgets, reporting, quality metrics, etc. This position will frequently be responsible for communication and collaboration strategies with both internal and external care teams.

Essential Functions / Major Responsibilities:

•Coordinates patient care based on referrals/order/requests from clinicians

•Creates, tracks, manages, modifies, and monitors patient authorizations as they relate to the treatment plan and in alignment with payer requirements

•Creates, tracks, manages, modifies, and monitors patient authorizations as they relate to the treatment plan and in alignment with payer requirements

•Organizes schedules and manages appointments for patients to ensure they receive services in a timely manner

•Regularly creates and discusses with the patient any financial estimates for care

•Help patients and their families navigate the process of using insurance to pay for care and educates patients on coverage and limitations

•Connects the patient to financing and/or financial assistance options based on client need and organizational policy

•Responsible for gathering patient data (demographics)

•Schedules/Registers/pre-registers patients for treatment

•Verifies insurance via verification tool

•Collects patient portions of fees and posts appropriately in the EMR

•Conducts daily reconciliation of all collections

•Participates in departmental and hospital-wide informational meetings and in-services, including staff meetings, hospital-wide forums, and seminars.

•Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards.

•Promotes the Patient Safety Standards as a core value of the organization.

•Communicates treatment options to the patient as directed by clinicians

•Perform related tasks to make it easier for patients to receive the best possible health care at our hospital

•Provide advocacy, patient education and support in accessing community-based and hospital-based programs

•Assists in creating and directing communication to the referring physician to include, but not limited to, diagnostic reports, care summaries, referral outcomes, etc

Other Responsibilities:

•Responsible for data quality auditing and communicates to staff regarding opportunities for improvement to uphold and exceed performance standards

•Responsible for point of service collection reporting and communicates to staff regarding opportunities for improvement to uphold and exceed performance standards

•Responsible for service recovery reporting and communicates to staff regarding opportunities for follow up and care coordination

•Responsible for soliciting patient and provider feedback and formulating this feedback into actionable insights

•Responsible for policy review as applicable to their area of leadership

•All other duties as assigned

Job Knowledge:

•Must have excellent problem-solving skills and be able to independently solve issues related to the patient revenue cycle

•Must be able to communicate effectively.

•Must be able to coordinate multiple projects simultaneously.

•Must be able to monitor multiple data points/metrics simultaneously.

•Understand interactions/workflow between financial and clinical areas.

•Must demonstrate attention to detail.

•Advanced computer system administration and technical skills required.

•Must have excellent critical thinking skills and be able to independently solve complex issues related to care navigation and payer requirements

•Must be able to communicate effectively across multiple forums

•Must demonstrate advanced knowledge of healthcare coverage limitations, requirements, and financial liability

•Must be have knowledge of grant, private, and public financial assistance organizations

•Must be able to understand and communicate data effectively

•Must be able to assist in department budget management

Supervisory Responsibility:

•Provides work direction to subordinate staff in the day-to-day performance of their jobs and trains departmental staff as needed

•Responsible for creating subordinate reviews, providing ongoing associate coaching,

and performance improvement plans when necessary.

Interpersonal Skills:

•Exceptional customer-service orientation

•Ability to interact effectively with colleagues, providers, clinic staff, hospital staff, administration, patients, public and outside technical people.

•Effectively communicate and educate both peers and patients via written communication forums

•Ability to collaborate across multi-disciplinary teams both internally and externally

•Ability to effectively communicate to key leadership positions

Education and/or Experience:

•High school diploma or equivalent (required).

•3-5 years related experience in healthcare, pre or patient access, revenue cycle or related area (required)

•1-3 years of supervisory experience (required)

•Experience with electronic medical systems

•Advanced computer literacy required

•CRCR (preferred)

•Marketplace experience (preferred)

•Strong understanding of the needs and obstacles faced by the local patient population

•Strong communication skills

•Bilingual (English/Spanish) preferred

•Knowledge of healthcare payer regulation and guidelines

•Extensive knowledge of healthcare coverage tiers/product lines

•Medical terminology (preferred).

OSHA Exposure Category:

Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues and are not a condition of employment.

  • Patient Care Navigator, Revenue Cycle- Full Time

    4 weeks ago

    Show Low, United States Summit Healthcare Regional Medical Center Full time

    The following information is designed to outline the functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained. Job functions may change based on organization need. General Position Summary: The Patient Care Navigator role aids in treatment coordination...

  • Patient Services Specialist

    6 days ago

    Show Low, United States American Vision Partners Full time

    Company Intro At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center,...

  • Dental Hygienist

    2 days ago

    Show Low, United States Advanced Dental Care Full time

    Job DescriptionJob DescriptionWe are a private upscale dental practice located in beautiful Showlow Arizona seeking a dynamic Dental Hygienist to join our practice. Our ideal dental hygienist would be energetic, personable, and possess a strong work ethic. As a vital member of our team, this dental hygienist will work alongside our skilled doctors to deliver...

  • Primary Care

    2 days ago

    Show Low, United States The Inline Group Full time

    This Advertisement is for Physicians OnlyPrimary Care physician job in Arizona : The Inline Group - Full TimeEmployedNew GraduatesAverage Patients seen: 20-25+ in ClinicCall Schedule: Shared call arrangement between 4-5 providersLoan RepaymentCompensation: - $400K starting salary- Increases to $425,000 in year 3Benefits: - NHSC loan repayment- Full...

  • Primary Care

    18 hours ago

    Show Low, United States The Inline Group Full time

    This Advertisement is for Physicians OnlyPrimary Care physician job in Arizona : The Inline Group - Full TimeEmployedNew GraduatesAverage Patients seen: 20-25+ in ClinicCall Schedule: Shared call arrangement between 4-5 providersLoan RepaymentCompensation: - $400K starting salary- Increases to $425,000 in year 3Benefits: - NHSC loan repayment- Full...

  • Flight Nurse I

    2 days ago

    Show Low, United States Air Methods Clinical Full time

    Overview: **Join us in the enchanting town of LOCATION, for an extraordinary career as a Flight Nurse with Air Methods.** Nestled amidst the majestic landscapes of **STATE, CITY **offers a perfect blend of natural beauty and cultural richness. As a pivotal member of our team, you'll play a crucial role in providing life-saving medical transport to the...

  • Outreach Specialist

    2 weeks ago

    Show Low, United States HELPING OURSELVES PURSUE ENRICHMENT INC Full time

    Job Type Full-time Description Summary As part of the Opioid State Targeted Response Grant, the Outreach Specialist works in the community to increase access to Opioid Use Disorder (OUD) treatment and prevention activities in order to reduce the prevalence of OUDs and opioid-related overdose deaths. Working collaboratively with other community stakeholders,...

  • Rn - Float Full Time Day Shift

    3 days ago

    Show Low, United States Summit Healthcare Association Full time

    **Essential Functions / Major Responsibilities**: - Demonstrates an understanding of nursing unit operations and serves as a liaison between units. - Demonstrates initiative and motivation to seek out units that need assistance; is self-directed. - Demonstrates flexibility with changing work priorities; exhibits a teamwork attitude. - Assesses patient...

  • RN Labor

    1 day ago

    Show Low, United States Summit Healthcare Regional Medical Center Full time

    Come work where others vacation! We are seeking experienced Registered Nurses for our Labor & Delivery unit! Now offering a $10k sign on bonus & relocation assistance plus night shift differential!Our People. Join us for a fulfilling career where we prioritize your growth. We offer diverse career paths, including cross-training in Labor and Delivery,...

  • Dental Assistant

    2 days ago

    Show Low, United States Bridge Dental Group Full time

    Job DescriptionJob DescriptionDental AssistantDynamic Dentistry, AZ is looking for a full time dental assistant to join our amazing team. We are looking for a dental assistant that is willing to be a team player, motivated, hard working and who will make our office more efficient and positive for our patients. This new dental assistant will share in our...

  • Community Care Pediatrician

    2 weeks ago

    Show Low, AZ, United States North Country Healthcare Full time

    North Country HealthCare is transforming healthcare for rural Arizona as a Primary Care, Federally Qualified Teaching Health Center. We provide Family Medicine, Pediatrics, Obstetrics/Gynecology, Dental, Physical Therapy, and Behavioral Health services to the under-served population throughout northern Arizona. We believe in practicing integrative care in an...

  • Med Surg Orthopedic/Observation RN

    6 days ago

    Show Low, United States Summit Healthcare Regional Medical Center Full time

    *Summit Health is looking for a Registered Nurse to join our Medical Surgical Orthopedic/Observation team! Please see below for our SIGN ON BONUS!*Summit Healthcare is a not-for-profit healthcare organization in the beautiful White Mountains of Northeastern Arizona. As a regional medical center with 101 licensed beds, Summit Healthcare responds to the health...

  • Emergency Department Registered Nurse

    6 days ago

    Show Low, United States Summit Healthcare Regional Medical Center Full time

    *Summit Healthcare is looking for Registered Nurse to join our Emergency Deparment! Please see below for our SIGN ON BONUS!*Summit Healthcare is a not-for-profit healthcare organization in the beautiful White Mountains of Northeastern Arizona. As a regional medical center with 101 licensed beds, Summit Healthcare responds to the health care needs of more...

  • Med Surg Tele RN

    6 days ago

    Show Low, United States Summit Healthcare Regional Medical Center Full time

    *Summit Health is looking for a Registered Nurse to join our Medical Surgical Telemetry team! Please see below for our SIGN ON BONUS!*Summit Healthcare is a not-for-profit healthcare organization in the beautiful White Mountains of Northeastern Arizona. As a regional medical center with 101 licensed beds, Summit Healthcare responds to the health care needs...

  • Clinical Informatics Analyst

    2 weeks ago

    Show Low, United States Summit Healthcare Regional Medical Center Full time

    General Position Summary: The Clinical Informatics Analyst facilitates the integration of data, information, and knowledge to support patients and clinicians in their decision making, design, education, and implementation of the Electronic Medical Record (EMR) and related processes. The primary role of the Informaticist is to serve as a "bridge" between...

  • Labor and Delivery RN

    6 days ago

    Show Low, United States Summit Healthcare Regional Medical Center Full time

    *Summit Healthcare is looking for a Registered Nurse to join our Labor & Delivery team! Please see below for our SIGN ON BONUS!*Summit Healthcare is a not-for-profit healthcare organization in the beautiful White Mountains of Northeastern Arizona. As a regional medical center with 101 licensed beds, Summit Healthcare responds to the health care needs of more...

  • Physician-General Surgery

    6 days ago

    Show Low, United States Summit Healthcare Regional Medical Center Full time

    Come work where others vacation in the beautiful White Mountains of Northeastern, AZ! Join our team and work with a committed and caring team of physicians, allied health providers, nurses, medical assistants and clinical support team members, all of whom are committed to the Summit Healthcare mission of improving the health and well being of our patients. ...

  • Float Registered Nurse

    6 days ago

    Show Low, United States Summit Healthcare Regional Medical Center Full time

    *Summit Healthcare is looking for Registered Nurses to join our Float RN team! Please see below for our SIGN ON BONUS!*Summit Healthcare is a not-for-profit healthcare organization in the beautiful White Mountains of Northeastern Arizona. As a regional medical center with 101 licensed beds, Summit Healthcare responds to the health care needs of more than...

  • Full Time Obstetrics and Gynecology Physician

    1 month ago

    Show Low, United States InSync Healthcare Recruiters Full time

    Warm Community with Resort-Style LivingDiscover the White Mountains of Arizona and become a part of a thriving OB/GYN practice in this recreational wonderland. The White Mountains boast tall Ponderosa Pines, lakes, rivers, fishing, wildlife, camping, golf, and winter sports, offering residents a wealth of experiences. Enjoy a friendly community with abundant...

  • Full Time Obstetrics and Gynecology Physician

    1 month ago

    Show Low, United States InSync Healthcare Recruiters Full time

    Warm Community with Resort-Style LivingDiscover the White Mountains of Arizona and become a part of a thriving OB/GYN practice in this recreational wonderland. The White Mountains boast tall Ponderosa Pines, lakes, rivers, fishing, wildlife, camping, golf, and winter sports, offering residents a wealth of experiences. Enjoy a friendly community with abundant...