ANNUAL WELLNESS VISIT NAVIGATOR - North Internal Medicine

Description

Annual Wellness Visit Navigator MA

Galen Medical Group offers several medical specialties throughout the Chattanooga region. We provide quality care and patient-friendly services to adults and children of all ages. Our mission is to elevate the health of our community through multiple medical specialties providing excellent care delivered with wisdom, compassion, integrity, and a commitment to technology, education, and scientific inquiry. We are seeking qualified, like-minded nurses to join our team!

Office Hours  Monday-Thursday  8:00 AM - 4:00PM   Fri  8:00 - Noon

Summary/Objective:

The AWV Navigator will work under the direction of the Population Health Manager to satisfy the EMR pre-population of upcoming Annual Wellness Visits on all qualifying patients in order to identify, address, and monitor preventative care measures for a specified patient population.

Essential Functions:  

• Proactively identify, address, and track the status of quality measures and other preventative services by pre-populating Medicare Annual Wellness Visits.
• Contact patients prior to their Annual Wellness Visit (AWV) in order to define the goals and steps of the AWV experience
• Conduct clinical interviews via telephone or telemedicine platform for health record inventory, health risk assessment and pre-population of the medical record in advance of the patient-provider encounter
• Develop proficiency and thorough understanding of evidence based clinical guidelines and HEDIS quality measures as they apply to specific patients and insurance policies.
• Communicate and coordinate the AWV patient experience with their aligned physician and clinic staff regarding documentation completeness, preventive care needs and/or patient concerns
• Assist with in-person AWV health inventories, health risk assessments and chart pre- population when necessary
• Responsible for maintaining and managing reports detailing the patients contacted, patients not contacted, visit status, open gaps, gap status, etc.
• Organizes and prioritizes tasks as to successfully complete duties in a timely manner
• Using the Practice Management system to reschedule Annual Wellness Visits as needed and in accordance with provider specific preferences
• Must have clear communication with your patients, team members, and manager
• Must be knowledgeable of the EMR system and be able to utilize all features, including but not limited to faxing, managing CCDAs, managing order tracking, changing statuses in EMR, and adding health related information into the appropriate place in the medical record

Other Duties/Responsibilities:

• Attend all meetings requested by the management team
• Have positive communication with the patients and introduce yourself to them while they are in the office if schedule allows
• Be knowledgeable of all Galen services to make recommendations to the patients
• Respects patients by recognizing their rights; maintaining confidentiality
• Protects self and other team members by following all compliance, HIPAA, and infection prevention guidelines and regulations
• Consistently demonstrates high standards of integrity by support Galen Medical Group’s mission and values
• Maintains professional and technical knowledge by completing continuing education credits
• Performs other functions as assigned by management team
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Knowledge/Skills/Abilities:

• Promote the mission, vision, and values of Galen Medical Group.
• Maintain confidentiality of all patient, medical, financial, and legal information.
• Report to work on time and as scheduled.
• Wear identification during work hours.
• Represent the organization in a positive & professional manner.
• Ability to handle difficult situations involving patients, physicians, or others in a professional manner.
• Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.
• Comply with all organization policies and standards regarding ethical business practices.
• Participate in performance improvement and continuous quality improvement activities.
• Attend regular staff meetings and in-services as directed by your manager.
• Consistently demonstrate the value of team concept.
• Ability to manage multiple and simultaneous responsibilities.
• Complete assignments efficiently and in a timely manner.
• Understands and abides by OSHA, HIPAA & CLIA standards

The above job description is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities, or requirements.

Qualifications

QUALIFICATIONS:

Education:

• High school diploma or equivalent.

Experience:

• A minimum of five years of healthcare with three years of clinical experience is required.
• A Minimum of two years of experience in Utilization Management, Case Management, or Care/Disease Management is preferred.

Skills/Certifications:

• Excellent customer service skills.
• Exceptional skills of independence, organization, verbal and written communication, problem-solving, professional interaction, and human relation skills, as well as analytical skills and problem-solving ability.
• Must be PC literate with strong computer navigational skills, as well as extensive knowledge of Windows and Microsoft Office.
• Knowledge of basic medical terminology.
• Proficient with processes to build teams and participate in cross-functional teams.
• Ability to work within specified timeframe requirements, including timeframes for goal achievement.

As part of the Galen Medical Group, the applicant must be a team player and provide excellent customer service while assessing our patients needs efficiently. Perform all duties in compliance with Galen Medical policies, HIPAA, and OSHA standards.

Galen Medical Group is a member of the TN Drug-Free Workplace and it is a requirement that we conduct a pre-employment drug screen, as part of the hiring process.

Why should you apply?

• 401(k) benefits.
• Education reimbursement.
• Holiday Pay.
• Great earned time-off policy.
• Company-paid Life Insurance & Long Term Disability.