Patient Navigator- Care Management (Full Time/ Days)

Description

Penn Medicine is dedicated to its tripartite mission of providing the highest quality of care to patients, conducting innovative research, and educating future leaders in medicine.

About the Role

The Patient Navigator PN will be an integral member of the Care Management multi-disciplinary outreach team. Together with Care Managers, Social Workers and providers, the PN will assist in care plan development and implementation, provide advocacy to patients, help develop care management strategy for enrolled patients and help create linkages for the various health and social needs of patients.

Responsibilities

• Works under the direction of the care team; determines plans for care management; coordinates care plans and completes tasks as necessary to complete social behavioral care plan goals.
  • Coordination of public assistance entitlements
  • Triage after hours questions from enrolled patients as appropriate
  • Accompanying patients to appointments as needed
  • Rearranging referrals to any additional services e.g. supportive housing programs, legal aid, etc.
  • Aids patients in learning medication adherence systems, as well as conducting medication reconciliations as appropriate
  • Acts as a liaison between the Emergency Department, specialists, community resources and managed care insurance plans on behalf of enrolled patients to ensure patient-centered coordination of care.
  • Engages in the coaching of patients and caregivers on health literacy as determined necessary in achieving identified goals
  • Forges and nurtures partnerships with local service organizations and community resources to broaden support services for patients.
  • Enters and maintains electronic records, compiles reports and completes other program documentation and administrative responsibilities in a timely manner e.g. progress notes, incident reports, client track, letters, etc.
• Participates in interdisciplinary case conferences team meetings huddles.
• Plays a consistent and active role in identifying project inefficiencies and finding collaborative solutions to the problems.

Qualifications

• High School Diploma or General Equivalency Degree GED with at least one year of experience in the social services and or medical field or as a former high-risk patient who successfully transformed their health, in conjunction with healthcare providers, utilizing education and controlled preventative measures.
• Strong understanding of medical terminology, case management and or outreach services.
• Exceptional organizational and interpersonal skills, with attention to detail required; strong oral written communication skills is a must.
• Demonstrated ability to work well with people of various ages, backgrounds, ethnicities, and life experiences.
• Valid Pennsylvania Driver’s License; must have daily access to an insured automobile.
• Ability to travel to multiple office locations and into patient homes.