Patient Navigator

Overview

“To enhance the quality of life for men, women and children in the greater Los Angeles area through the provision of high quality, accessible and affordable healthcare services.”

• Medical Benefits – FHCCGLA pays 100% of employee’s Kaiser;
  Anthem Blue Cross;
  Health Net; and United Health Care coverage (HMO Plan) subject to change during open enrollment.
• 403 B - Through Mutual of America, the company matches up to 5% of employee’s salary.
• Dental Benefit – Met Life Only (HMO/PPO Plan).
• 11 Holidays Observed.
• 2 Floating Holidays.
• Vision Benefit – Met Life Plan.
• 1 Birthday Holiday.
• Life Insurance – Accidental Death & Dismemberment; and Long‑term Disability.
• 7 Paid Sick Leave – 56 hours Full-Time.
• Paid Sick Leave – 40, Part-Time and Per-Diem.
• Employee Assistance Program.
• 2 weeks’ Vacation.
• AFLAC Benefits.

This would be a great opportunity to make a difference with you onboard!

POSITION TITLE: Patient Navigator

DEPARTMENT: Q.I.

REPORTS TO: QI Coordinator

POSITION OVERVIEW:

The Patient Navigator will work closely with FHCCGLA’s C.M.O. and healthcare teams to improve coordination of patient care. The Patient Navigator will assist FHCCGLA patients by identifying their needs as per FHCCGLA’s Quality Improvement (Q.I./Q.A.) and HEDIS goals.

DUTIES/RESPONSIBILITIES:

1. Greet all clients, visitors, and other contacts from the general public.

2. Conduct brief conversations with patient and family member(s) as applicable to provide instructions or health education information (e.g., fecal occult instructions, etc.) as needed.

3. Pull GAP Reports, i2i Tracks System, and Next Gen Reports to determine which patients are due for various preventive care health maintenance measures and follow‑up.

4. Make contact attempts to patients as directed following FHCCGLA’s Q.I./Q.A. & HEDIS goals and objectives.

5. Assist clients from diverse cultural backgrounds in understanding the health system in terms of access or limits to services.

6. Maintain communication with FHCCGLA providers verbally or by setting up communication flags through the E.H.R.

7. Undertake continuous self‑improvement, attending applicable training, seminars, in‑services, and educational classes to maintain skill competency and current knowledge for standard of care and effective practices.

8. Follow all agency safety and health standards, regulations, procedures, policies, and practices.

9. Identify, initiate, and implement measures to deliver high‑quality care to patients and improve services.

10. Respond efficiently and timely to all patient and provider staff needs and inquiries.

11. Ensure excellent customer service to all FHCCGLA patients.

12. Work with the operations managers to manage patient scheduling and flow to address bottlenecks, scheduling issues, etc.

13. Handle patient grievances according to FHCCGLA’s Policy & Procedure.

14. Assist in developing, updating & reviewing FHCCGLA Policies & Procedures (P&P’s) as needed (with input from all other key personnel).

15. Ensure HIPAA compliance by maintaining strict confidentiality of all patient data and E.H.R./Practice Management System (PMS) according to regulations and FHCCGLA’s P&P’s.

16. Attend the following meetings/trainings:

• Mandatory Quarterly Staff Meeting/Trainings – Quarterly (Jan., Apr., Jul. & Oct.)
• Corporate Risk Management Meeting – Quarterly (Jan., Apr., Jul. & Oct.), as needed (advanced notice will be provided when feasible)
• Clinical & Operations (C&O) Meeting – As needed (advanced notice will be provided when feasible)
• Meetings with FHCCGLA’s Executive Leadership, as needed (advanced notice will be provided when feasible)

17. Other pertinent meetings – As scheduled.

18. Remain informed of:

• Current legal and regulatory changes related to scope of practice.
• Specific programs/payors, insurances accepted, and services being offered at FHCCGLA.
• All applicable Policies & Procedures.

19. Serve as a liaison between clients and medical staff.

20. Facilitate the flow of information regarding updates and changes from front and back office staff as necessary.

21. Assist clients with completion of forms.

22. Provide information on services offered on site.

23. Assist as an EyePACS Photographer.

• Ensure…