Patient Care Coordinator

2 days ago


Miami, Florida, United States Genuine Health Group Full time
Job Title: Patient Care Navigator

Job Summary:

The Patient Care Navigator is a vital role within our organization, responsible for facilitating the delivery of information to individual members of the clinical team to help coordinate prescribed healthcare services. This position serves as a liaison between beneficiaries/members and healthcare components, ensuring seamless care transitions and improved patient outcomes.

Key Responsibilities:

  • Increases beneficiary/member involvement in the decision-making process.
  • Minimizes fragmentation of care within the healthcare delivery system.
  • Assists in improving adherence to the plan of care for the beneficiary.
  • Acts as an advocate for the beneficiary/member.
  • Collaborates with clinical teams to focus on moving the beneficiary/member to self-care (independence) whenever possible.
  • Coordinates care for the beneficiary/member, including chronic care management and transition care management.
  • Participates in team meetings and quality improvement initiatives.
  • Focuses on transitions of care, ensuring safe, effective, and timely transfers between care settings.
  • Collaborates with outpatient staff to ensure safe transitions and follow-up with primary care physicians and/or specialists.
  • Improves outcomes by utilizing adherence guidelines, standardized tools, and proven processes to measure beneficiary/member understanding and acceptance of proposed plans.
  • Facilitates health and disease beneficiary/member education.
  • Coordinates with clinical teams to move beneficiaries to optimal levels of health and well-being.
  • Improves beneficiary/member safety and satisfaction with their healthcare needs.
  • Expands the interdisciplinary team to include beneficiary/member and/or their identified support system, healthcare providers, and community-based professionals.
  • Improves beneficiary/member experience by coordinating appointments and referrals with specialists using our Preferred Provider Network.
  • Maintains a daily census of beneficiaries/members' admissions, discharge dispositions.
  • Demonstrates proficiency with electronic medical records and care coordination systems.
  • Documents all interactions between beneficiary/member/caregiver and all components of the healthcare delivery system.
  • Adheres to all policies and procedures, including the HIPAA Privacy rule.

Requirements:

  • High School diploma
  • Driver's license
  • Preferred one (1) year of outpatient or inpatient care setting experience
  • Fully bilingual preferred (English/Spanish)

Knowledge, Skills, and Abilities:

  • Knowledge with Care Coordination of the elderly
  • Ability to work with a high attention to detail
  • Compassion and empathy
  • Strong communication and interpersonal skills; both written and oral
  • Proficiency with electronic healthcare records systems
  • Proficiency in Excel and Word


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