Patient Care Navigator

100% Remote Orthopedic MSK Digital Care Team

ESSENTIAL FUNCTIONS

• Assists withoverseeing the daily inbound calls, fax referrals,emailsand tasksforthedepartment.
• Assists Care Managers in performing assigned tasks.
• Ensurespatient is progressingtoward desired outcomes by continuouslymonitoringpatient care through assessment and evaluation.
• Identifiesand 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 issuesandappropriately resolvesin a timely manner.
• Documents in a clear, complete, concise, and organized manner.
• Monitors clinicallylowriskcases.
• Advises Care Manager and/or Medical Director of any new and/or concerning clinical issues.
• Institutes necessary actions to promote quality care andappropriate.
• Accepts referrals andidentifiespatients who meet the criteria for care management.
• Adheres to and supports team members in exhibitingHOPCo'svaluesand mission.
• Assistswith program planning, development, and evaluation.
• Performs related duties as assigned. Performs other CIN duties as assigned.

EDUCATION

• Medical Assistant or Certified Nursing Assistantdegreeor equivalent working knowledgepreferred.

EXPERIENCE

• Minimum three (3) years ofcertified nursing assistant or medical assistantexperienceis 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 musculoskeletalspecialtyis 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, andappliespolicies and procedures.
• Ability to set priorities among multiple requests.
• Ability to interact with patients, medical and administrative staff, andcase managerseffectively.
• Ability to work in a fast-paced environment.

ENVIRONMENTAL WORKING CONDITIONS

• Thepositionprovidesan option to work from home.If working from home,musthave a designated workspace.
• Use ofstandard office equipment,including computers, copiers, printers, etc.

PHYSICAL/MENTAL DEMANDS

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching arerequired.
• Manual dexterity using a calculator and computer keyboard.

ORGANIZATIONAL REQUIREMENTS

• HOPCoMission, Vision, and Valuesmust 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.