Care navigator

Overview

Kettering Health Medical Group

• Kettering Health Medical Group, formerly known as Kettering Physician Network, employs more than 700 providers, including physicians and advanced practice providers, throughout the Greater-Dayton and Cincinnati areas.
• Offering an extensive range of specialties and expertise, our physician practices provide comprehensive care at more than 200 locations and ten counties.
• Our services include heart & vascular, orthopedics, sports medicine, primary care, and urology.

Responsibilities & Requirements

The Certified Medical Assistant Care Navigator is responsible for :

• Responsible for assisting the interdisciplinary medical home care team in the provision of care navigation activities and working with selected patients as assigned by high risk status or multiple health care coordination needs.
• In addition, the role assists the Care Manager and interdisciplinary team with access and utilization management improvements, proactive patient panel management, care facilitation and treatment coordination functions.
• Upholds the standards of the system-wide customer service program.
• Performs duties for practice or Network commensurate with applicable certifications and licensure when deemed necessary by leadership.
• Case load will be determined by accepted Regional and Network standards.

Job Requirements :

High School Diploma or equivalent

1-year clinical experience in a medical / physician office setting

Successful attainment and retention of CCMA, CMA (AAMA) or NCMA certification or RMA plus documented completion of a Medical Assisting program through an accredited institution of higher learning.

Basic Life Support certification required.

• Must be able to collaborate and communicate with Care Managers and interdisciplinary team as needed in planning patient follow-up care and appointments.
• Must be able to collaborate with Health Coach and interdisciplinary team in planning follow-up care, as needed. Must be able to communicate with patients regarding pre-visit planning, follow-up after discharge, and scheduling urgent appointments and referrals to specialists.
• Will also contribute to providing self-management support to patients.
• Must have ability to prioritize and organize tasks with attention to detail.
• Excellent interpersonal skills, good judgment, flexibility, initiative and ability to use critical thinking skills to problem solve.
• Knowledge of various patient lists / reports, overdue lab and imaging reports, referral reports, services needed for chronic conditions and other reports as requested.

Preferred Qualifications

The Certified Medical Assistant Care Navigator is responsible for :

Upholds the standards of the system-wide customer service program.Performs duties for practice or Network commensurate with applicable certifications and licensure when deemed necessary by load will be determined by accepted Regional and Network standards.

Job Requirements :

High School Diploma or equivalent1-year clinical experience in a medical / physician office settingSuccessful attainment and retention of CCMA, CMA (AAMA) or NCMA certification or RMA plus documented completion of a Medical Assisting program through an accredited institution of higher Life Support certification required.

Facilitate smooth navigation through bariatric surgical pathway.Insurance verificationSurgical insurance authorizationsAssist with referrals to specialist for with obtaining pre-operative orders.

Must be able to collaborate and communicate with physician(s), APP’s, and team as needed in planning patient follow-up care and appointments.

Must be able to communicate with patients regarding pre-visit planning, scheduling post operative appointments, urgent appointments, and referrals to specialists.

Must have ability to prioritize and organize tasks with attention to detail. Excellent interpersonal skills, good judgment, flexibility, initiative, and ability to use critical thinking skills to problem solve.

Knowledge of overdue lab and imaging reports, referral reports, services needed. May be requested to substitute for other office personnel and conduct responsibilities of receptionist / front other assigned duties by physician(s), nurses, coordinator, or managerGraduate of an accredited medical assisting program preferred

Last updated : 2024-11-04