Ambulatory Navigator

Job Duties and Responsibilities

• Care Coordination: Preparation of statistical data, financial statements, and reports to granting entity.
• Preparation of correspondence, various reports, policy manual, and other administrative reports relating to the clinic.
• Care coordination for physician patients, interviewing and directing visiting personnel and patients to appropriate offices.
• Answers telephone, makes appointments, and performs related receptionist duties.
• Maintains records of appointments and meetings for the physicians as needed.
• Ensures a high level of customer service in the clinic and resolves issues promptly that may arise.
• Provides suggestions for service improvement.
• Enters patient data into designated registry/documentation system and generates reports as needed.
• Captures and coordinates scheduling of patient visits and referrals.
• Actively supports and participates in community events that the physicians are supporting.
• Follows up when transitions occur, possibly including performing telephonic follow up or home visits for applicable patients and ensures a smooth transition from hospital/community facility to home.
• Coordinates with the health care team to ensure the consistent implementation of the treatment plan and the goal of improving or maintaining the health status of the patient.
• Utilizes health behavior change techniques to identify patient readiness for self-management and barriers to optimal care, and implements interventions that address patient needs.
• Documents care into electronic health record or registry.
• Participates in hospital committees and initiatives to improve operations, patient education, gap closure, and reduce preventable hospital readmissions.
• Supports and participates in Payer Pay for Performance or Quality Improvement Plans as designated by the CCT Director.
• Communicates with the physicians to ensure an effective continuum of care: daily communication, financial interventions/recommendations, assisting the physicians to recognize and resolve care gaps, and scribing for physicians as needed to optimize patient flow.
• Oversees quality assurance: Acquires knowledge of accountable care act requirements to maintain compliance and improve value-based proposals and pay for performance measures, ensuring accountability of assigned insurers outcomes and improvements.
• Works with Marketing on MD education programs and community education and marketing.

Qualifications

• Five years of experience in the healthcare field, navigating the exchange, and/or financial counseling experience, preferred.
• Two (2) years of college education or equivalent experience, required.
• BS degree, preferred.