Patient Navigator
Long Island Select Healthcare, Inc. · Riverhead, NY · 6 mo ago
On-siteInformation TechnologyFull-time
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.