Patient Navigator

Description

The Chronic Care Management Team (CCM) is seeking a fulltime energetic individual who is caring, responsible, and dedicated to providing patients with an exceptional healthcare experience. This Patient Navigator should have a strong knowledge of medical terminology and also a basic knowledge of healthcare plans and insurance verification. Excellent communication skills, both verbal and written, is a must have. This position requires a positive attitude and personable demeanor. It also requires great time management and organizational skills with special attention to detail. Responsibilities include but are limited to the items below:

· Create ongoing relationships with our patients and family members and advocate for their health and respond to messages left by patients.

· Functions as a liaison between patients, physicians, staff, and outside medical offices to improve communication and patient care.

· Initiates, monitors, and coordinates care planning for assigned patients, including patients receiving immunotherapy infusions Communicates effectively and maintains a professional relationship with co-workers and providers.

· Verify patient’s insurance coverage and eligibility for CCM care and accurately submit prior authorizations to insurance plans in a timely manner.

· Follow up and troubleshoot any pending authorizations, on a regular basis, to obtain the current status or to be informed of any action needed for approval.

· Prepares documentation for billing purposes for the care navigation program. Maintain proper documentation in EHR for continuity of care.  

· Ability to successfully navigate between multiple systems throughout the course of the workday, this includes but is not limited to operational software and vendor portals. 

· Maintains confidentiality according to HIPPA regulations and AAU policies.

Job Type: Full-time

Salary: $17.00 - $19.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Pet insurance
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule

• Monday to Friday

Ability to commute/relocate:

• Annapolis, MD 21401: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical experience: 1-2 years required

Work Location: In person

Requirements

Min. Education

- High School Diploma or GED, Required

- Associate or Bachelor’s Degree; Strongly Preferred.

Min Experience

- 2 Years Medical experience; Required

- 1 Year customer service/call center experience, Strongly Preferred

- 2 Years Oncology and/or Urology experience, Preferred

- 1 Year of navigator and/or educator experience; Preferred

Skills / Abilities

- English Language (Linguistic) level of fluent or higher.

- Organized and Self-Motivated

- Time Management and Prioritization

- Customer Service

- Computer Literacy and

- HIPAA, Privacy and Confidentiality

- Medical Terminology

- Problem Solving

- Care / Case Management and/or Care Navigation

- Strong and Effective written and verbal communication

- Previous experience working in the EMR systems

Physical Requirements:

- Prolonged periods of sitting at a desk and working on a computer.

- Must be able to lift up to 25 pounds at times.

- English Language (Linguistic) level at Fluency or above - written and verbal

Clock Hours

40 Hours / Week

80 Hours / Pay Period

FMLA Exemption: Hourly, Non-Exempt

Reports To CCM Program Director

Benefits Eligible: Yes

Travel: Yes; up to 25%

Salary : $17 - $19