Patient Navigator (H)

Patient Navigator

The Department of UHealth Connect has an exciting opportunity for a full-time Patient Navigator to work remotely out of the Medley, FL office.

Core Job Summary

The Patient Navigator facilitates patients' ability to obtain services by identifying barriers to care, coordinating the development of treatment plans, and monitoring the implementation and follow-up of services ordered by caregivers.

Core Responsibilities

• Conducts patient evaluations to obtain information necessary for the development of an effective treatment plan.
• Ensures patients have access to insurance and social service programs for which they are eligible.
• Provides patient reminders of upcoming appointments and acts as liaison between patients and providers.
• Identifies and resolves real or perceived barriers to care.
• Educates and counsels patients on issues related to their health and life situations.
• Maintains current knowledge of community health, welfare resources, and any other programs available to patients.
• Adheres to University and unit-level policies and procedures and safeguards University assets.
• Maintain a working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need.
• Maintain knowledge of insurance referral requirements to ensure access based on third party reimbursement criteria.
• Ensure that the appropriate appointment and registration information is documented at time of scheduling.
• Adhere to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately with attention to detail to ensure the highest quality standards.
• Adhere to standards provided by the HIPPA Privacy Office related to patient privacy and confidentiality.
• Initiate pre-registration process and coordinate with the Central Insurance Verification and Patient Access teams to assure pre-registration in the appropriate facility prior to the appointment.
• Provide verification of enrollment and deductible status for persons enrolled in the School's special contract programs.
• Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements.
• Contact insurance company through telephone; inquire about patient information and benefits.
• Inquire via insurance companies and HMO's about referral, authorization information and letters.
• Intervene as liaison/advocate for patients, physicians, and staff in facilitating ease of care. Assist in identifying trouble spots and problem patterns in the provision of care.
• Intercede for the patient as needed to obtain prompt, efficient, effective care (e.g. medical explanations, reduced waiting, billing inquiries, cost estimates).

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Core Qualifications

• High School diploma or equivalent required
• Minimum 3 years of relevant work experience required
• Ability to process and handle confidential information with discretion.
• Ability to communicate effectively in both oral and written form.
• Ability to handle difficult and stressful situations with professional composure.
• Ability to maintain effective interpersonal relationships.
• Ability to understand and follow instructions.
• Building partnership with local community physicians and referral sources to the UHealth Systems.
• Maintaining communication with patients and the healthcare providers to monitor patient satisfaction with the patient care experience.
• Arranging any special needs such as transportation, interpreting services, etc as needed for the patient's appointment.
• Facilitate financial support, assistance with paper work or medical records and linkage to follow-up services.
• Prepare routine departmental correspondence to referring agencies and primary care providers.
• Serve as a liaison between the patients, the UHealth Systems, Medical Providers in order to increase the utilization of appropriate primary care and tertiary services.
• Will work to maximize patient use of appropriate and established health services, assists and guides patients in receiving medical services, educates patients on the appropriate utilization of care, appointments and treatments services, ensures that patients are able to access and keep medical appointments.
• Appointment setting and referral management as defined