Bilingual Care Navigator Coordinator

Division/Department: Health Services | Reports to: UM Director/Director of Valued Base Care

About the role

We are searching for a dedicated, compassionate, and highly organized individual to join our team as a Care Navigation Coordinator. This role is integral to fulfilling our mission of providing excellent, patient-centered care. The Care Navigation Coordinator will ensure seamless transition of care and excellent patient experience by coordinating patient onboarding, care coordination, referral coordination, conducting health risk assessment (HRA) calls, and engaging patients to develop personalized care plans.

Responsibilities

• Schedule and coordinate patients' first office visits to ensure a positive experience.
• Create patient charts and ensure all necessary documentation is complete.
• Verify patient eligibility and benefits.
• Request hospital records and other relevant medical information.
• Schedule first appointment with a care coordinator and primary care physician.
• Coordinate patients' referrals to specialists, hospitals, and other health care providers.
• Verify insurance coverage and obtain pre-authorizations as needed.
• Schedule appointments and communicate with patients, providers, and staff.
• Ensure accurate and timely documentation in our EHR system.
• Conduct health risk assessment (HRA) calls with new patients to establish risk levels and identify care needs.
• Collaborate with care coordinators to develop personalized care plans for new patients.
• Maintain accurate and up-to-date patients' records.
• Communicate effectively with patients, families, providers, and staff.
• Participate in quality improvement initiatives and performance metrics.
• Adhere to regulatory requirements, policies, and procedures.
• Follow up on home health and DME orders to ensure patients receive services.
• Provide extraordinary customer service to all internal and external customers, including patients and team members.
• Utilize patient messaging tools.
• Work collaboratively with other care coordinators and the Marketing team to ensure patient satisfaction and good health outcomes.
• Perform additional duties as assigned.

Requirements

• 5 years of medical experience.
• Foreign MD license, Medical Assistance with more than 10 years of care coordinator experience, or LPN Florida License.
• Must be detail-oriented, possess the ability to multi-task and problem-solve, and be open to cross-functional training.
• Proficient in navigating computer software systems and exercising proper phone etiquette.
• Team-oriented with the ability to work well with patients, colleagues, physicians, and other personnel in a professional and courteous manner.
• Exceptional organizational skills with the ability to prioritize and complete tasks in a timely manner.
• Knowledge of medical terminology, CPT, HCPCS, and ICD coding preferred.
• Bilingual is a plus.

Physical & Mental Requirements

• Ability to stand or sit for extended periods of time.
• Ability to receive and comprehend instructions verbally and/or in writing.
• Ability to use logical reasoning for simple and complex problem solving.
• Occasionally requires exposure to communicable diseases or bodily fluids.
• Occasional travel for clinic activities may be required.