Patient Care Navigator

About the role

The Patient Care Navigator serves as the Home and Community-Based Care Based Alternatives (HCBA) department generalist and first point of contact. This role interacts with all levels within and outside the organization, handling issues within its scope, and requires extensive knowledge of related vendors' operations. The Navigator communicates directly with participants and facilitates appointments.

Responsibilities

• Acts as the initial point of contact for all department calls and triages calls appropriately.
• Provides administrative support for non-PACE care coordination functions, including printing, faxing, and scanning participant documents.
• Orders office supplies for HCBA.
• Manages ordering and installation of emergency alert systems for participants.
• Initiates calls for clinical or administrative information as requested and ensures delivery to the correct recipient.
• Sends clinical information as directed.
• Forwards incoming calls and arranges call appointments as needed.
• Arranges discharge transport and follow-up internal/external appointments, including associated transport.
• Receives SNF (Skilled Nursing Facility) acceptance information and notifies the case manager.
• Receives MD orders and ensures distribution to appropriate parties.
• Communicates with SNFs regarding CEI transfer paperwork and appropriate actions.
• Confirms receipt of orders and arrival of participants at SNFs.
• Contributes to best practice model suggestions and complies with department standards of care and practice.
• Listens to and documents participant concerns, facilitating 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 care coordination services.

Qualifications

• Associate degree preferred.
• 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 (typically 3-5 years) preferred.
• Basic knowledge of PCs and related software required.
• Accuracy, productivity, dependability, and good attendance are critical.
• Ability to perform duties in a heavy workload environment.

Pay

The hourly pay range for the Patient Care Navigator position 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.