Patient Care Navigator

Patient Care Navigator

The Center for Elders' Independence is a PACE (Program of All-Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, and promoting autonomy, quality of life and the ability of individuals to live in their communities. The Position: Reporting to the Director of HCBA, the Patient Care Navigator performs as Home and Community-Based Care Based Alternatives (HCBA) department generalist and first point of contact. Independently performs assigned duties. Interacts with all levels within and outside the organization to release or receive information and handles issues within scope of the role. Requires extensive knowledge of related vendors operations; communicates directly with participants and facilitates appointments. The hourly pay range for the Patient Care Navigator position at Center for Elders' Independence is $25.75 to $37.75. Placement within the range is determined based on job-related factors such as relevant experience, skills, abilities, internal equity, and market data, consistent with CEI's annual compensation review and established compensation practices.

Duties and Responsibilities:

• Acts as initial point of contact for all department calls and triages calls appropriately.
• Provides administrative support for non–PACE care coordination functions including printing/faxing/scanning of participant documents.
• Orders office supplies for HCBA.
• Manages ordering and installation of emergency alert system for participants.
• Initiates calls for clinical or administrative information as requested.
• Receives information and assures delivery to correct recipient.
• Sends clinical information as directed. Forwards incoming calls and or arranges call appointments as needed.
• Arranges for discharge transport, follow up internal and external appointments with associated transport.
• Receives SNF acceptance information and notifies case manager. Receives MD orders and assures distribution to appropriate parties. Communicates with SNF's regarding CEI transfer paperwork and appropriate actions to be taken. Confirms receipt of orders and arrival of participant at SNF.
• Open to best practice model suggestions. Offers input and complies with department standards of care and practice as well as quality improvement activities.
• Listens to and documents participant concerns and facilitates satisfactory resolution.
• Interfaces with participants for data collection, scheduling and care coordination needs.
• Performs other duties as needed to support the CCSC team and assist with provision of care coordination services.

Qualifications:

• Associate degree preferred, and 3-5 years of progressively responsible experience related to health plan operations preferred
• Demonstrated excellent customer service and oral communication skills required
• Health plan experience with member coordination/communication and clerical management experience required (usually 3-5 years) preferred.
• Basic knowledge of PC's and related software required. Accuracy, productivity, dependability and good attendance is critical.
• Ability to perform duties in heavy workload environment.

The above job description is intended to communicate the general function of the mentioned position and by no means shall be considered an exhaustive or complete outline of the specific tasks and functions that will be required. CEI reserves the right to change job descriptions, site assignments, and or work hours as required by the needs of the program. All employees are expected to perform their duties within their ability as required by the job and/or as requested by management.

Center for Elders' Independence is a PACE (Program of All-Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, including an Adult Day Health Center, and promoting autonomy, quality of life and the ability of individuals to live in their communities. Unlike other healthcare plans, CEI is not a "fee-for-service" plan. It is a "capitation" healthcare plan. CEI is paid a set amount for each person enrolled in our program, whether or not that individual seeks care. We are a growing company that offers stability and continues to thrive.