Patient Navigator (MA – Certified Medical… at Cedars Sinai · Beverly…

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What will you be doing:

The Patient Navigator (MA – Certified Medical Assistant) works to remove the patient's barriers to care by identifying critical resources, helping navigate through health care services and systems, and promoting patient health. The Patient Navigator operates with a high level of autonomy providing care coordination and workflow processing as well as communication to the patient at all levels throughout their care, at the direction of the care team. The Patient Navigator will leverage understanding of specific practice specialty, physician and clinic needs to ensure all applicable documentation, verifications, authorizations and equipment/supplies are attained to effectively serve the patient needs. Pro-actively facilitates the process and effective communication on all levels through tactful and professional interaction. Uses knowledge of the clinic to resolve complexed issues and identify ways to increase patient satisfaction and outcomes. Provides advance level of non-clinical and administrative support to the staff, physicians, and patients. The Patient Navigator will be the subject matter expert and provide training to others and conducting training session(s) on new processes/workflows. Serves as an ambassador, change agent, quality champion, and mentor/resource.

• Responsible for obtaining authorizations for services such as, procedures, clinic visits, imaging, infusions, and others.
• Serves as the point of contact and liaison for the patients and their care teams by assisting patients in accessing services within the organization, community and hospital based programs; facilitating communication with referring physicians, referring patients to appropriate resources, and providing follow-up.
• Responsible for identifying concerns throughout treatment and facilitates timely the communication and collaboration between care teams, patients, and their families for problem resolution and to keep patients engaged in their care.
• Analyzes logistics and make recommendations for barriers that would prevent a patient from arriving to their appointment or receiving services such as scheduling complications, transportation, cleaning and maintenance of equipment/supplies.
• Responsible for obtaining all required documentation needed by Physician(s) for clinic appointments. Proactively and independently track all new and follow up patients. Takes lead on facilitating relevant insurance concerns or issues by connecting patients with appropriate resources and team members.
• Responsible for facilitating resolution to the complex and difficult non-clinical and/or administrative issues and concerns within the clinic. Makes recommendations for improvement. Performs unit office procedures including all administrative duties as needed, such as scanning, filing, faxing, phones, and/or courier duties.
• Monitors that all appointments have been scheduled including all ancillary procedures and interdepartmental services; coordinates new patient referrals and consultations with the physicians.
• Proactively collaborates with members of the care team in coordinating and implementing plans for patient care and records patient history for medical staff review.
• Supports clinic projects/program, organizational work, and/or councils or committees that will assist with improvement of patients’ healthcare outcomes. May be responsible for program data maintenance and tracking.
• Assists with the development and implementation clinical quality assurance protocols and programs.
• Monitors and maintains timely patient flow and room availability. Assists patients with the completion of forms, as needed.
• May transport stable, non-acute patients for testing or treatment.

Please note, this is an 8-Hour day shift, 100% onsite.

Responsibilities

• Serves as the point of contact and liaison for the patients and their care teams by assisting patients in accessing services within the organization, community and hospital based programs; facilitating communication with referring physicians, referring patients to appropriate resources, and providing follow-up.
• Responsible for identifying concerns throughout treatment and facilitates timely the communication and collaboration between care teams, patients, and their families for problem resolution and to keep patients engaged in their care.
• Analyzes logistics and make recommendations for barriers that would prevent a patient from arriving to their appointment or receiving services such as scheduling complications, transportation, cleaning and maintenance of equipment/supplies.
• Responsible for obtaining all required documentation needed by Physician(s) for clinic appointments. Proactively and independently track all new and follow up patients. Takes lead on facilitating relevant insurance concerns or issues by connecting patients with appropriate resources and team members.
• Responsible for facilitating resolution to the complex and difficult non-clinical and/or administrative issues and concerns within the clinic. Makes recommendations for improvement. Performs unit office procedures including all administrative duties as needed, such as scanning, filing, faxing, phones, and/or courier duties.
• Monitors that all appointments have been scheduled including all ancillary procedures and interdepartmental services; coordinates new patient referrals and consultations with the physicians.
• Proactively collaborates with members of the care team in coordinating and implementing plans for patient care and records patient history for medical staff review.
• Supports clinic projects/program, organizational work, and/or councils or committees that will assist with improvement of patients’ healthcare outcomes. May be responsible for program data maintenance and tracking.
• Assists with the development and implementation clinical quality assurance protocols and programs.
• Monitors and maintains timely patient flow and room availability. Assists patients with the completion of forms, as needed.
• May transport stable, non-acute patients for testing or treatment.

Qualifications

Experience Requirements:

Three (3) plus years of experience supporting a Medical office, ambulatory care facility or medical group practice.

Experience providing a high level of customer service in a fast paced environment, including handling confidential data with discretion.

Proficient understanding of medical terminology.

Solid grasp of MS Excel.

Educational/Certification Requirements:

High School Diploma/GED required. Graduate of an accredited medical assistant program preferred.

CMA – Certified Medical Assistant or related certifications highly preferred.

BLS - Basic Life Support required.

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