Patient Navigator- Ambulatory Care Management

2 months ago

Lancaster, United States Lancaster General Full time
Summary

Job Description

Job Title: Patient Navigator

Patient Navigator primary location at Commerical Ave, East Petersburg. Covers patients that typically reside in Elizabethtown and Dauphin County. Travel is expected.

Full time, 1.0 FTE, Mon-Fri typically 8 am - 4:30 pm. No weekends.

POSITION SUMMARY: The Patient Navigator (PN) will be an integral member of the Care Management multi-disciplinary outreach team. Together with Care Managers, Social Workers and providers, the PN will assist in care plan development and implementation, provide advocacy to patients, help develop care management strategy for enrolled patients and help create linkages for the various health and social needs of patients. The Patient Navigator will be the direct contact for patients enrolled in the program and will help provide the coaching necessary for identified patients to achieve success in implementing and achieving their healthcare goals. The PN will be responsible for participating in the multi-disciplinary team meetings/huddles and implementing suggested approaches to providing better care. The PN will meet the patients in all settings including home, inpatient, outpatient and specialty office settings, as appropriate.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:
  • Works under the direction of the care team; determines plans for care management; coordinates care plans and completes tasks as necessary to complete social/behavioral care plan goals. Tasks may include, but are not limited to:
- Coordination of public assistance/entitlements

- Coordination of behavioral health services

- Accompanying patients to appointments as needed

- Arranging referrals to any additional services (e.g. supportive housing programs, legal aid, etc.)

- Assists patients in learning medication adherence systems, as well as conducting medication reconciliations as appropriate
  • Acts as a liaison between the Emergency Department, specialists, community resources and managed care/insurance plans on behalf of enrolled patients to ensure patient-centered coordination of care.
  • Engages in the coaching of patients and caregivers on health literacy as determined necessary in achieving identified goals.
  • Forges and nurtures partnerships with local service organizations and community resources to broaden support services for patients.
  • Enters and maintains electronic records, compiles reports and completes other program documentation and administrative responsibilities in a timely manner (e.g. progress notes, incident reports, client track, letters, etc.).
  • Participates in interdisciplinary case conferences/team meetings/huddles.
  • Plays a consistent and active role in identifying project inefficiencies and finding collaborative solutions to the problems.
SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:
  • Participate in the education of nursing and medical students that may rotate through the Care Connections Clinic.
  • Comply with OSHA, HIPPA and other mandated safety procedures or regulations.
  • Attend meetings run by community organizations as deemed necessary
  • Attend continuing education classes or conferences as deemed necessary
  • Participates in the on-call responsibilities for this position as required.
  • Other duties as assigned.
JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:
  • High School Diploma or General Equivalency Degree (GED) with at least one year of experience in the social services and/or medical field
  • Strong understanding of medical terminology, case management and/or outreach services.
  • Exceptional organizational and interpersonal skills, with attention to detail required; strong oral/written communication skills is a must
  • Ability to work collaboratively in a team, manage multiple priorities, utilize effective time management skills, and exercise sound administrative and clinical judgment.
  • Demonstrated ability to work well with people of various ages, backgrounds, ethnicities, and life experiences.
  • Valid Pennsylvania Driver's License; must have daily access to an insured automobile.
  • Ability to travel to multiple office locations and into patient homes.
PREFERRED QUALIFICATIONS:
  • Licensed Practical Nurse (LPN), Paramedic/Emergency Medical Technician, or other licensed health care practitioner,
  • Bilingual (changed from proficiency in the Spanish language. )
  • Prior acute hospital experience or ambulatory practice experience
  • Demonstrated comprehensive knowledge of social and community resources.
  • Prior experience with patient home visits
COGNITIVE REQUIREMENTS

ATTENTION/CONCENTRATION - The following level of ability is essential for the jobholder to focus on certain aspects of current experience and reject others:
  • The position requires the ability to attend to more than one aspect of a situation simultaneously. It is highly likely that multiple task demands are going to be required of the individual at the same time.
NEW LEARNING AND MEMORY - The following level of ability is essential for the jobholder to learn and retain material:
  • A large portion of this position required reliance on verbal memory and new learning. Efficiency in processing of verbal information, either in written or spoken form, is a major requirement and prerequisite of the job. The individual must be able to attend to and process multiple bits of information simultaneously. The individual must be able to organize and categorize this information effectively so that later recall is feasible.
PROBLEM SOLVING, REASONING AND CREATIVE THINKING - The following level of ability that is essential for the jobholder to think (in order to solve a problem) by combining two or more elements from past experience or imaginative thought:
  • The position required much autonomy of thought and problem solving. The individual must be able to apply principles of logical or scientific thinking to define problems. The individual must be able to think abstractly, which is manifested in the ability to form concepts, use categories, generalize from single instances, apply procedural rules and general principles, and be aware of subtle or intrinsic aspects of a problem. The development of hypothesis and potential solutions to problems involves careful interpretation, analysis and diagnosis. The individual must be able to collect data, establish facts, and draw valid conclusions. The individual must be able to think creatively with a degree of inventiveness, experimentation and intuition. They must be able to deal with a variety of concrete and abstract variables.
APTITUDES: The following are essential requirements of the position in relation to job-worker situations. These items describe how a worker must adapt, adjust, conform or act:

Performing under stressful conditions: Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations, or in situations in which working speed and sustained attention are critical aspects of the job. Is subject to danger or risk, or to tension as a regular, consistent part of the job.

Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations.

Communication: Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.

Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.

EQUIPMENT USAGE REQUIREMENTS

Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies

Software: Microsoft Office Products, clinical information system

PHYSICAL REQUIREMENTS

Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%

Body Position/Movement:
  • Sit: Frequently
  • Stand: Occasionally
  • Walk: Frequently
  • Bend: Occasionally
  • Push: Occasionally
  • Pull: Occasionally
  • Kneel/Squat: Rarely
  • Reach: Occasionally
  • Twist: Occasionally
  • Balance: Rarely
  • Climb: Rarely
Lifting: Degree of physical exertion is:

Light, exerting up to 50 pounds of force occasionally and/or a negligible amount of force frequently or constantly to move objects.

Sensory Abilities specifically required:
  • Vision
  • Hearing
PHYSICAL ENVIRONMENT

WORKING CONDITIONS: Exposure to hazardous conditions/ materials is negligible.

Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.

Benefits At A Glance:

PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees:
  • 100% Tuition Assistance at The Pennsylvania College of Health Sciences
  • Paid Time Off and Paid Holidays
  • Shift, Weekend and On-Call Differentials
  • Health, Dental and Vision Coverage
  • Short-Term and Long-Term Disability
  • Retirement Savings Account with Company Matching
  • Child Care Subsidies
  • Onsite Gym and Fitness Classes


Disclaimer

PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.

Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH , and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

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