Patient Navigator (BCCS/FPP)

DESCRIPTION: To provide eligibility and enrollment assistance following the criteria set by the BCCS/FPP program which includes documentation, problem solving, determination of eligibility and accessibility to uninsured patients of the Center and community residents. Coordinates program services with providers, medical support staff, and community partners.

SUPERVISION: Directly supervised by Program Coordinator.

TYPICAL PHYSICAL DEMANDS: Requires prolonged sitting, stooping and bending. Must be able to lift/carry up to 25 pounds. Requires the use of office equipment, such as computer terminals, telephone, copiers and scanners.

ESSENTIAL FUNCTIONS:

• Provide application for eligibility and renewal assistance in state program by providing fair, impartial, and accurate information.
• Interviews clients to gather case management information, determines eligibility for medical or social services and appropriately refers to other agencies as needed.
• Provide information and assistance in the applicants preferred language and or provide limited-English proficiency applicants with oral and written notices of their rights to receive language assistance services and how to obtain such services.
• Evaluates information from interview to identify client's need or problem.
• Maintains clients' records by reviewing case notes; logging events, progress, and posting of service coordination and navigation charges.
• Advises client or client's relatives, if the case so merits, in formulating a service plan, explaining departmental functions and procedures. Describing feasibility and consequences of alternatives per provider recommendations.
• Ability to work in a variety of settings with culturally-diverse families and communities with the ability to be culturally sensitive and appropriate.
• Composes narrative reports, summarizing case activity and recommends further action as needed, as per provider recommendations.
• Assists patients in obtaining community assistance and/or referral.
• Ensures timely follow-up appointment with providers, of abnormal results and/or condition as per protocol or procedure.
• Ability to work independently with strong sense of focus, task-oriented, nonjudgmental, open personal qualities, clear sense of boundaries.
• Compiles, copy, and completes data for administrative reports, and other documents.
• Maintains and updates BCCS/FP patient logs.
• Develops, maintains, and updates the department's filing system.
• Participates in educational & promotional activities as requested.
• Participate in regular staff meetings, staff training programs, supervisory sessions, and accept the responsibility for aiding the development of positive team relationships as requested.
• Maintains customer confidence and protects operations by keeping information confidential, and adheres to HIPAA Regulations.
• Adhere to agency policy, procedures and the professional code of ethics.
• Maintains operations by following program policies & procedures.
• Contributes to team effort by accomplishing related results as needed.
• Performs other duties as assigned.

MINIMUM QUALIFICATIONS:

• Must be a graduate from an accredited high school or GED program.
• Graduate and receive certificate of completion from an accredited vocational/technical school in Medical Office Assistant.
• Must be Registered/Certified with National Association for Healthcare Professionals or American Allied Health. Registration/certification must be kept current.
• Two years' experience preferably in a community health care setting.
• Must have current BLS/CPR certificates.
• Bilingual in English and Spanish is preferred.
• Possess means of transportation.
• Valid Texas Driver's License and minimum liability insurance.

SKILLS AND ABILITIES:

• Knowledge of corporate, Federal, State, and Joint Commission requirements/regulations.
• Basic knowledge of Bureau of Primary Health Care and Texas Department of State Health Services, expectations, rules and regulations.
• Computer knowledge in (graphics, charts, spread etc.).
• Ability to interpret, understand and carry out instructions and orders.
• Must be able to establish and maintain good working relationships with co-workers, visitors and patients.
• Must possess basic knowledge of compliance and HIPAA.
• Ability to accept supervision and direction.
• Ability to understand and communicate effectively both oral and written instructions.
• Ability to work effectively with others and to deal tactfully with professional personnel as well as with the public.
• Ability to work with individuals or in a group to promote community education client participation.
• Ability to express ideas clearly and problems or concerns, and also the ability to exercise good judgment in evaluating situations and in making recommendations.

HUMAN RIGHTS:

Gateway Community Health Center, Inc. does not discriminate regardless of race, color, marital status, religion, sex, national origin, ancestry, physical or mental handicap or disability, age Vietnam era veteran status, or other grounds as applicable federal, state and local laws or regulations.