Patient Care Navigator

ESSENTIAL FUNCTIONS 

• Assists with overseeing the daily inbound calls, fax referrals, emails and tasks for the department. 

• Assists Care Managers in performing assigned tasks.  

• Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through assessment and evaluation. 

• Identifies and resolves barriers that hinder effective patient care. 

• Improves quality and completeness of documentation. 

• Collaborates with patients, families, nurses, physicians, and other members of the team, building consensus around issues and appropriately resolves in a timely manner. 

• Documents in a clear, complete, concise, and organized manner. 

• Monitors clinically low risk cases. 

• Advises Care Manager and/or Medical Director of any new and/or concerning clinical issues. 

• Institutes necessary actions to promote quality care and appropriate.  

• Accepts referrals and identifies patients who meet the criteria for care management. 

• Adheres to and supports team members in exhibiting HOPCo’s values and mission. 

• Assists with program planning, development, and evaluation. 

• Performs related duties as assigned. Performs other CIN duties as assigned.  

EDUCATION 

• Medical Assistant or Certified Nursing Assistant degree or equivalent working knowledge preferred.  

EXPERIENCE 

• Minimum three (3) years of certified nursing assistant or medical assistant experience is preferred.  

• One-year experience in a medical business office, physician’s office, or hospital environment is preferred.  

• Experience in value-based care / population health is preferred. 

• Experience in orthopedics or musculoskeletal specialty is preferred.  

KNOWLEDGE  

• Knowledge of the health care field and orthopedics. 

• Knowledge of policies and procedures concerning patient care. 

• Knowledge of patient confidentiality, state laws, HIPAA regulations, and medical records procedures. 

• Knowledge of medical practices, terminology, and reimbursement policies. 

• Knowledge of Microsoft Office applications. 

SKILLS 

• Skill in follow-up with patients and responding to inquiries promptly. 

• Skill and professionalism when interacting with providers, patients, family members, and the public. 

• Skill in understanding patient education needs by effectively sharing information with patients and families. 

• Skill in problem-solving and time management. 

• Skill in evaluating the effectiveness of existing methods and procedures. 

• Skill in verbal and written communication. 

ABILITIES 

• Ability to read, interprets, and applies policies and procedures. 

• Ability to set priorities among multiple requests. 

• Ability to interact with patients, medical and administrative staff, and case managers effectively. 

• Ability to work in a fast-paced environment. 

ENVIRONMENTAL WORKING CONDITIONS 

• The position provides an option to work from home. If working from home, must have a designated workspace. 

• Use of standard office equipment, including computers, copiers, printers, etc. 

PHYSICAL/MENTAL DEMANDS 

• Requires sitting and standing associated with a normal office environment.  

• Some bending and stretching are required.  

• Manual dexterity using a calculator and computer keyboard. 

ORGANIZATIONAL REQUIREMENTS 

• HOPCo Mission, Vision, and Values must be read and signed. 

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.