Referral and Resource Navigator - Fellowship Program

Referral and Resource Navigator - Fellowship Program

Summary

Title:Referral and Resource Navigator - Fellowship Program

ID:0417-5694

Department Location:APRN Fellowship Programs, 340 Printers Pkwy, Colorado Springs, CO 80910

Category:Administrative / Clerical / Skill Trades

Description

Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 20 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 74,300 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Compensation (Pay): $16.25 to $23.56/hourly, based on experience.

Summary of Benefits:

• Medical, Dental, Vision, Life, STD, LTD

• 403(b) Retirement with Company Match

• Paid Time Off

• Tuition Assistance

• Perks Rewards

• Employee Assistance Program

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 include the following:

• 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. The requirements listed below are representative of the knowledge, skill, and/or ability required. 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 intra/internet to manage timecard, review policies and procedures, and 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Two. See Exposure Control Plan for details.

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. The employee is 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