Patient Care Navigator; HYBRID**Not Fully Remote Standish​/Tawas

Hybrid Position
- Opportunity for onsite and remote work

A patient care navigator renders assistance to patients and professional staff within an assigned department or centralized geography, in support of improving care access, care transitions and coordination of patient care resources. This role works collaboratively with interdisciplinary team members who manage medically or socially complex patient panels. The patient care navigator actively engages with patients and caregivers both in the practice/clinic and over the phone using critical thinking and communication skills to identify barriers that may be impacting patients’ ability to achieve optimal health.

Patient health care navigators facilitate timely access to medical care, and link patients, families to professional and community resources to enable patients to become active participants in managing their own care. The navigator provides additional support/education and navigation to both clinical and community resources for patients recently discharged from the hospital and emergency department. This role may meet with patients at locations outside of the My Michigan Health campus, including the patient’s home or a community location.

They may also assist with coordinating patient appointments, medical prior authorizations, and conducting patient outreach post discharge and/or for patients who are challenged with meeting patient appointments. The patient care navigator will work collaboratively with the care manager to optimize clinical efficiency.

• Utilizes motivational interviewing techniques to identify social risk factors that may be hindering patients from meeting their health care goals (60%). Completes required clinical screenings to assist with identification of patient risk factors. Links patients to community and medical resources needed to address social determinants of care and/or barriers to health care goals. Coordinates medical appointments and assists patients in addressing barriers to medication regimen adherence.
• Effectively and professionally completes the appropriate workflow and documentation for all assigned patients; communicates urgent concerns regarding patient care needs to appropriate care team members in a timely manner (20%).
• Educates patients on appropriate utilization of healthcare resources; contributes to the development and management of the patient care plan in collaboration with care manager, provider, and other team members (15%).
• Participates in process improvement projects and specific clinical tasks as assigned to improve patient access (5%).

• Contact patients recently discharged from the medical center or emergency department for follow‑up and to identify barriers related to patients reaching their goals.
• Assist patients who require clearance (authorization) prior to scheduling appointments.
• Assist patients who require specialty care through directly booking appointments where authorized or by working with individual specialty departments to schedule appointments.
• Educate patients on obtaining community resources to remove barriers for health care.
• Contact patients who have missed two medical appointments to facilitate future compliance.
• Help patients understand challenges with attending visits and secure a plan to overcome obstacles.

• Effective customer service and communication skills required.
• Provides education to patients for health care and community resources.
• Demonstrates clinical competencies on an annual basis.

• BLS
  - Basic Life Support required within three months of hire or transfer.
• MA CERT
  - Medical Assistant required.

• Registered…