Patient Navigator

Essential Duties & Responsibilities

• Documents and tracks referrals within Long Island Select Healthcare's EMR (eClinicalWorks) and follow up with clinical team members, external parties, and the patient as required.
• Responsible for obtaining & tracking pre-authorizations for all specialty services, diagnostics, and radiology services.
• Processes specialty insurance referrals & authorizations (i.e. Emblem, Fidelis, etc.).
• Conducts pre-visit planning activities for patient appointments, alerts clinical staff of issues ahead of patient visit.
• Effectively communicates referral status with clinical team members to ensure care coordination & meet PCMH standards of care.
• Provides relevant information about the PCMH program including brochures, that describe the values and goals of the program to patients.
• Promote self-management support, including linking patients with community-based services & resources, health education services and preauthorization of tests and transportation.
• Affords assistance to patients in need of transportation with obtaining rides to and from appointments.
• Available to cover front-desk on an as-needed basis.
• Has the means and ability to travel between clinics.

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.
• Education and/or Experience: High school diploma, General Education Diploma (GED), or High School Equivalency Diploma (HSE); College degree preferred. Previous patient navigation or case management experience preferred. Two years' experience in a healthcare setting required. Ability to obtain NYS Health Assistor certification within 90 days of employment. Notary Public preferred.
• Necessary Skills & Abilities: Language Skills, Mathematical Skills, Reasoning Ability, Physical Demands, Work Environment, Travel.