Patient Care Navigator
Genuine Health Group Llc
If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Patient Care Navigator HOURLY Miami, FL, US Summary The Patient Care Navigator is an administrative position that works with the clinical team. The Patient Care Navigator facilitates delivery of information to individual members of the clinical team to help coordinate prescribed healthcare services. Patient Care Navigators are liaisons between beneficiaries/members and healthcare components. In addition, the Patient Care Navigators’ role is to help patients understand treatment plans. Through beneficiary/ member contact, Patient Care Navigators will assist in identifying care gaps in patient care by tracking ordered wellness visits, chronic care management and transition care services. Navigators will report to the Clinical Operations Manager. Patient Care Navigators will not recommend or render any medical services. Essential Duties and Responsibilities Increasesinvolvementofthebeneficiary/memberandortheircaregiverinthe decision-making process. Minimizesfragmentationofcarewithinthehealthcaredeliverysystem. Assistsinimprovingadherencetotheplanofcareforthebeneficiary. Assistsbeneficiary/memberbyactingasanadvocate. Collaborates with clinical teams tofocusonmovingthebeneficiary/membertoself-care (independence) whenever possible. Assistsincoordinatingcareforbeneficiary/member,includingchroniccare management and transition care management. Participatesinteammeetingsandqualityimprovementinitiative. Focusesontransitionsofcare,whichincludesacompletetransferfromonecare setting to the next that is safe, effective, and timely. Collaborateswithoutpatientstafftoensurethatsafetransitiontothenewcare setting and follow up with the primary care physician and/or specialist. Improvesoutcomesbyutilizingadherenceguidelines,standardizedtools,and proven processes to measure a beneficiary/member’s understanding and acceptance of the proposed plans, his/her willingness to change, and his/her support to maintain health behavior change. Facilitates health and disease beneficiary/member education. Coordinates with clinical teams with the goal of movingbeneficiarytooptimallevelsofhealthandwell-being. Improvesbeneficiary/membersafetyandsatisfaction with their healthcare needs. Expands the interdisciplinary team to include beneficiary/member and or their identified support system, healthcare providers; including community based and facility-basedprofessionals(i.e.pharmacists,MedicalSocialWorkers,holisticcare providers). Improvesbeneficiary/memberexperiencebycoordinatingappointmentsand referrals with specialists using our Preferred Provider Network. Maintainsadailycensusofbeneficiaries/members’admissions, discharge dispositions. Demonstrates proficiencywithelectronicmedicalrecordsandcarecoordinationsystems. Documentsallinteractionsbetweenbeneficiary/member/caregiverandall components of the healthcare delivery system. AdherestoallpoliciesandproceduresincludingbutnotlimitedtotheHIPAAPrivacy rule. Performs other duties as assigned. Knowledge, Skills and Abilities KnowledgewithCareCoordinationoftheelderly. Abilitytoworkwithahighattentiontodetail. Compassionandempathy. Strongcommunicationandinterpersonalskills;bothwrittenandoral. Proficiency with electronic healthcare records systems. Proficiency in Excel and Word. Minimum Education and Experience Position Requirements: Education Experience Preferred One (1) year of outpatient or inpatient care setting experience Language Fully bilingual preferred (English/Spanish) #J-18808-Ljbffr Genuine Health Group Llc
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