Clinical Navigator

4 weeks ago


Winter Haven, Florida, United States Central Florida Health Care Full time

Job Summary:

The Clinical Navigator will have direct and indirect patient care responsibilities, working in collaboration with the clinical care team to ensure optimal outcomes for the patient's health.

This position will involve educating CFHC staff in delivering safe, high-quality, and efficient care to the patient population regarding all Managed Care health care screenings, including Colorectal Cancer Screening, Breast Cancer Screening, Cervical Cancer Screening, and Care Gaps.

The primary responsibility of this position is to develop and implement Managed Care Campaigns to support HEDIS and STARS screenings and measures, working with Managed Care payors and collaborating with the Managed Care team to provide cross-functional support, including patient outreach and communication.

Certification/Registration - Medical Assistants must be certified or registered and certified and registered Medical Assistants must maintain certification, OR Minimum of 2 years of experience as a Clinical Medical Assistant and/or License Practical Nurse, Experience with Microsoft Word, Excel, and PowerPoint, Experience with electronic health records, Joint Commission, and/or quality management, Knowledge of HEDIS and STARS Measures, Ability to work under tight deadlines and remain flexible.

Responsibilities and Performance Expectations:

  • Maintains understanding and knowledge of, and remains compliant with CFHC's policies and procedures, particularly those pertaining to role.
  • Participates in QI team meetings, site meetings - when appropriate, and meetings for Moffitt Grant requirements, as well as other meetings when asked by supervisor.
  • Develops relationships with front office staff (AMA's/PCTAs), back office staff (LPNs, RNs, and providers), lab staff, call center staff, and QI team to identify smooth processes in the development of the screening process.
  • Work with Moffitt key partners to ensure key deliverables are met throughout the grant period.
  • Serve as the primary point of contact for the Moffit CARES-REACH (Colorectal Cancer Awareness, Research, Education and Screening-Rural Expansion, Access and Capacity for Health) research grant.
  • Facilitate communication between the research team, providers, and staff as needed.
  • Help to coordinate meetings at CFHC, and/or with Moffitt for effective communication for cancer screening activities.
  • Assist in directing the required data abstractions and coordinate implementation of clinic processes including EMR queries to identify baselines and detect screening outcomes for the organization.
  • Ability to lift weights equivalent to what would be required when occasionally assisting and positioning patients, repositioning equipment and lifting supplies.

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