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Referral and Resource Navigator - Fellowship Program

$16.25 - $23.56 per hour

Peak Vista Community Health Centers

Compensation $16.25 to $23.56 hourly, based on experience. Benefits Summary Medical, Dental, Vision, Life, STD, LTD 403(b) Retirement with Company Match Paid Time Off Tuition Assistance Perks Rewards Employee Assistance Program For more information: Location 340 Printers Parkway, Colorado Springs, CO 80910 Summary The Referral and Resource Navigator’s primary role is to assist identified patients with identifying barriers to effective care, assisting the patient in working with community resources to overcome these barriers, and is key in obtaining medically appropriate services through referral processing inside and outside of the Peak Vista Community Health Centers. Employee demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements. The employee enhances the effectiveness, efficiency, and productivity of the department by contributing to, and participating in, departmental performance improvement goals. Essential Duties and Responsibilities Clinical and Social referral Navigation. Supports referral process through to completion or closure. Utilizes all referral processes applicable to the payor source, including pre-certifications and prior authorizations. Collaborates with clinical staff, support teams, and community providers to ensure smooth transition to the most suitable level of care. Promotes patient education and care plan activities in order to reduce hospital readmission rates through interdisciplinary collaboration to achieve measurable patient outcomes. In addition to promoting and coordinating healthcare services with cost‑effective solutions, the Resource Navigator contributes to the implementation of the member’s care plan. Promotes and demonstrates the mission, vision, and Core Values of Peak Vista. Develops and maintains good working relationships with all departments, the management team, medical staff, and leadership. Embraces cultural diversity amongst ourselves and our community. Responsible for the human, financial, and material resources as well as data and information entrusted to us. Strives to deliver the best outcomes and highest quality service. Demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements. Enhances the effectiveness, efficiency, and productivity of the department by contributing to, and participating in, departmental performance improvement goals. Other duties as assigned. Supervision Exercised None Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Spanish bilingual preferred. Education High school diploma or equivalent education. Work Experience Minimum 1‑year experience in a healthcare or social service setting is required. Computer Skills Basic – ability to access the intranet/internet to manage timecards, review policies and procedures, read company communications; use e‑mail to communicate with co‑workers, leadership, and other departments; enter and correct data, modify a workbook, format a worksheet, and use printing functions; create a simple presentation in PowerPoint, run it, and print it. Certificates and Licenses CPR Certification to be obtained within the first 90 days of employment. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Two. The noise level in the work environment is usually quiet. Physical Demands The employee must occasionally lift and/or move up to 20 pounds. While performing the duties of this job, the employee is frequently required to stand and walk, and occasionally required to sit. *Successful candidates will complete pre‑employment screening; which includes, but is not limited to, a criminal background check. Peak Vista Community Health Centers is a drug and alcohol free workplace and an Equal Opportunity Employer. **PVCHC participates in the Electronic Employment Verification Program. E‑Verify is an Internet‑based system that compares information from an employee’s I‑9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com #J-18808-Ljbffr

Vacancy posted 3 days ago
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