Patient Care Navigator

Orthopaedic Associates of Maine is hiring a full-time Patient Care Navigator in Portland, ME.

POSITION SUMMARY

ESSENTIAL FUNCTIONS

• Works closely with the Clinic Supervisor, Physicians, APPs, and clinic team to coordinate the daily operations of the clinic.
• Serves as a resource to staff for solving clinical problems.
• Documents therapeutic procedures, dressing changes, wound management, allergies, and medication dosages.
• Ensures clinical team accurately and timely documents patient care services by charting in the patient record.
• Ensures H&P and other required documentation is completed by the Physicians and APPs
• Acts as a liaison between physician and post-operative patients, facilitating questions regarding wound care, pain management and follow-up appointments.
• Responsible for pre-appointment chart checks, ensuring all required historical records and imaging are present and ready for the physician, as well as diagnostic tests with physician guidance and scope of practice.
• Prepares charts for office visits and reviews for completeness.
• Greets all patients and families in a polite, prompt, and helpful manner, in person and via phone while maintaining professional behavior and adherence to organizational values.
• Inputs orders for labs, MRIs and other needs as ordered by the physician or APP.
• Records patient services in the EHR
• Works closely with the pre-authorization team and revenue cycle to ensure the required documentation is completed timely by providers and others.
• Schedules appointments and obtains prior authorizations as required.
• Manages incoming patient portal messages, phone calls and other communication with patients, consulting with the physician and communicating back to the patient per protocol.
• Prioritizes communication and requests from Ortho Access for level of urgency and immediate appointment needs with physician consultation and guidance.

• Collaborates with surgical scheduler to coordinate pre-operative diagnostic tests, medical consults, etc.; gathering information to ensure pre-operative patient facilitating questions regarding wound care, pain management, and follow-up appointments.
• Covers for Clinical Assistants in clinic as necessary. Has ability to effectively perform essential job functions for each role.
• Reviews test results with patients at the physician’s request
• Responsible for communicating with surgical patients 1-2 days after surgical discharge to perform a surgical checkup and schedule any necessary follow up appointments.
• Maintains medication records and transcribes pharmacy orders as requested by the physician.
• Facilitates patient education visits as requested by the provider.

PRIMARY RESPONSIBILITIES

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• Problem solves scheduling issues through concise communication.
• Assists with daily processing of office correspondence and appropriate distribution.
• Manages all forms of patient communication.
• Processes patient FMLA and other disability forms
• Monitors department voicemail.
• Follows up with no-show patients.
• Retrieves required medical records, procedure notes, operative notes, etc., and scans any documents required to be uploaded in patient chart.
• Keeps abreast of current issues involving patient care or practice issues by attending and participating in department, team, and practice meetings.
• Attends meetings, as assigned, and participates in educational activities to keep skills up to date.
• Works on special projects, as requested.
• Demonstrates professionalism at all times.
• Displays cooperative behavior and interacts positively and effectively with others to promote a team environment.
• Performs other duties necessary to maintain the overall efficiency and continuity of the clinic.
• Is proactive in identifying, reporting, and participating in the resolution of any potential or actual patient safety issues.
• Adheres to organizational, federal, and local HIPAA guidelines and policies and procedures, as required by law.

QUALIFICATIONS

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• LPN with current Maine License or eligible for licensure, Medical Assistant, CMA/RMA, or other relevant healthcare credentials with required experience
• 2 years’ experience in a healthcare environment with knowledge of Orthopaedics preferred
• Current BLS
• Ability to demonstrate compassion and caring.
• Excellent communication and interpersonal skills necessary for interacting with patients, physicians, leadership, and other staff.
• Excellent organizational and time management skills with attention to detail
• Ability to prioritize and accomplish tasks to meet changing demands.
• Ability to work independently and excel as a member of a cohesive team.
• Proficient computer skills with knowledge of electronic medical records