Patient Care Navigator

Description

Patient Care Navigator – Join Our Mission at Valley-Wide Health Systems, Inc.

Valley-Wide Health Systems, Inc. is committed to delivering exceptional, patient-centered healthcare across southern Colorado. As a Patient Care Navigator, you will play a critical role in supporting our care teams, ensuring patients have access to the services they need, and reducing barriers to quality care. This is an opportunity to make a tangible impact on the well-being of our communities while advancing your career in a dynamic and supportive environment.

Key Responsibilities

Patient Advocacy & Support:

• Assist patients in overcoming healthcare, financial, and social barriers.
• Support enrollment in programs such as Medicaid, Sliding Fee Discount, and transportation assistance.
• Maintain confidentiality and ensure patients understand their rights and options.

Comprehensive Patient Assessments:

• Conduct in-depth assessments of new and referred patients, addressing both clinical and psychosocial needs.
• Provide guidance on medical, dental, and behavioral health recommendations to improve patient health outcomes.
• Act as a liaison between patients and care teams, ensuring a smooth care coordination process.

Navigation & Referral Coordination:

• Manage external and internal referrals, ensuring timely follow-up and closure of care loops.
• Assist patients in navigating insurance authorizations, scheduling imaging and diagnostics, and appealing denied claims.
• Track, document, and monitor treatment plans and referral statuses.

Collaboration & Communication:

• Work closely with interdisciplinary healthcare teams to optimize patient care.
• Utilize motivational interviewing techniques to engage patients in their health journey.
• Document all navigation activities in the Electronic Health Record (EHR) system.

Community Engagement & Quality Improvement:

• Stay informed about internal and community resources to effectively connect patients with appropriate services.
• Support quality improvement initiatives by tracking preventive screenings and patient outreach efforts.
• Participate in population health management efforts for targeted patient groups.

Qualifications & Skills

Experience:

• At least one year of experience in customer service, patient support, case management, or healthcare coordination.

Education & Certifications:

• High school diploma required; a bachelor’s degree in healthcare administration, human services, or a related field is preferred.
• Bilingual Spanish-speaking skills are highly desirable.

Key Competencies:

• Strong critical thinking and problem-solving abilities.
• Compassionate and patient-focused approach, with cultural sensitivity to diverse populations.
• Ability to thrive in a dynamic, team-based healthcare setting.
• Knowledge of healthcare systems, insurance processes, and community resources.
• Professionalism, enthusiasm, and commitment to the mission of patient-centered care.

Work Environment & Benefits

Work Setting:

• Office-based role within a medical, dental, or administrative clinic environment.

Benefits:

• FREE Health Insurance (Other healthcare coverage plan options available)
• MASA – Employer paid Air Ambulance Coverage
• Employer paid Basic Life, LTD, STD
• Retirement Match
• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan
• Paid Leave:
  • Vacation – 10 days accrued/year
  • Sick – 12 days accrued/year
  • Holidays – 8 days/year 2 Floating 

Visit our website at https://valley-widehealth.org/careers/ for more information. 

Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer: We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. 
Employee Rights Under the Family and Medical Leave Act (FMLA)

Salary : $19 - $24