Care Navigator

1 month ago

Prestonsburg, United States Appalachian Regional Healthcare Full time

Overview:

The Care Navigator is responsible for coordinating access to ARH services across all areas of their healthcare community (includes hospital, retail pharmacy, home care, home health, indigent care, etc.).

Responsibilities:
  • Work collaboratively with care providers to coordinate and plan the access to care for patients across the ARH continuum;
  • Work with nursing and care managers to identify ARH service opportunities (retail pharmacy, home care services, home health services, etc.) to patients being discharged;
  • Make follow-up contacts to high-volume patients for local and system services;
  • Provide a local resource to transition follow-up services (for example, prescription refills) through the system services (for example, the prescription mail order program);
  • Promote and coordinate with home care services for post-discharge durable medical equipment and home health orders;
  • Deliver completed prescriptions and supplies to patients or their caregivers;
  • Assist patients in processing payment requirement;
  • Assist in the completion of paperwork for medication access programs;
  • Contact other resources for patient information to potentiate ARH services;
  • Work with physicians and social services to obtain insurance prior authorizations for medications as needed;
  • Coordinate with local service line directors to provide contiguous and coordinated services post-discharge;
  • Performs direct entry and maintenance of patient application(s) for services;
  • Responds to and provides additional information and or appeals as required by pharmaceutical companies.
  • Maintains records and statistics for the purpose of evaluation and program analysis.
  • Sustains general knowledge of manufacturer indigent patient program criteria and communicates changes and developments.
  • Investigates and analyzes critical operational situations and provides directions for the resolution of problems.
  • Performs other related duties as assigned.

Travel as required.

Qualifications:


Minimum Education

This position requires a high school diploma and at least 3 years experience or an Associates Degree.

Minimum Work Experience
2 years

Required Licenses/Certifications None

Required Skills, Knowledge, and Abilities Computer skills and knowledge of all applicable programs.

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