Patient Care Navigator

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HOURLY Miami, FL, US

The Patient Care Navigator is an administrative position that works with the clinical team. The Patient Care Navigator facilitates delivery of information to individual members of the clinical team to help coordinate prescribed healthcare services. Patient Care Navigators are liaisons between beneficiaries/members and healthcare components. In addition, the Patient Care Navigators’ role is to help patients understand treatment plans. Through beneficiary/ member contact, Patient Care Navigators will assist in identifying care gaps in patient care by tracking ordered wellness visits, chronic care management and transition care services.

Navigators will report to the Clinical Operations Manager. Patient Care Navigators will not recommend or render any medical services.

• Increasesinvolvementofthebeneficiary/memberandortheircaregiverinthe decision-making process.
• Minimizesfragmentationofcarewithinthehealthcaredeliverysystem.
• Assistsinimprovingadherencetotheplanofcareforthebeneficiary.
• Assists beneficiary/memberbyactingasanadvocate.
• Collaborates with clinical teams tofocusonmovingthebeneficiary/membertoself-care (independence) whenever possible.
• Assistsincoordinatingcareforbeneficiary/member,includingchroniccare management and transition care management.
• Participatesinteammeetingsandqualityimprovementinitiative.
• Focusesontransitionsofcare,whichincludesacompletetransferfromonecare setting to the next that is safe, effective, and timely.
• Collaborateswithoutpatientstafftoensurethatsafetransitiontothenewcare setting and follow up with the primary care physician and/or specialist.
• Improvesoutcomesbyutilizingadherenceguidelines,standardized tools,and proven processes to measure a beneficiary/member’s understanding and acceptance of the proposed plans, his/her willingness to change, and his/her support to maintain health behavior change.
• Facilitates health and disease beneficiary/member education.
• Coordinates with clinical teams with the goal of movingbeneficiarytooptimallevelsofhealthandwell-being.
• Improves beneficiary/membersafetyandsatisfaction with their healthcare needs.
• Expands the interdisciplinary team to include beneficiary/member and or their identified support system, healthcare providers; including community based and facility-based professionals(i.e.pharmacists,Medical Social Workers ,holistic care providers).
• Improves beneficiary/memberexperiencebycoordinatingappointmentsand referrals with specialists using our Preferred Provider Network.
• Maintainsadailycensusofbeneficiaries/members’admissions, discharge dispositions.
• Demonstrates proficiencywithelectronicmedicalrecordsandcarecoordinationsystems.
• Documentsallinteractionsbetweenbeneficiary/member/caregiverandall components of the healthcare delivery system.
• AdherestoallpoliciesandproceduresincludingbutnotlimitedtotheHIPAAPrivacy rule.
• Performs other duties as assigned.

• Knowledge with Care Coordinationoftheelderly .
• Abilitytoworkwithahighattentiontodetail.
• Compassionandempathy.
• Strongcommunicationandinterpersonalskills;bothwrittenandoral.
• Proficiency with electronic healthcare records systems.
• Proficiency in Excel and Word.

• Education
• Experience

Preferred One (1) year of outpatient or inpatient care setting experience

Fully bilingual preferred (English/Spanish)