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Affinia Healthcare Inc

Managed Care Patient Navigator

Affinia Healthcare Inc, St Louis, Missouri, United States

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POSITION SUMMARY:

Facilitate the coordination of care by navigating patients through the medical and dental process to achieve desired outcomes

POSITION QUALIFICATION REQUIREMENTS Education:

Minimum high school graduate or equivalent

Graduate of a certified Medical Assistant program preferred

Experience:

Minimum three (3) years' experience in a clinical setting required. Minimum one-year EMR and patient scheduling experience required. Skills and Abilities

which may be representative but not all inclusive of those commonly associated with this position:

Excellent organizational skills

Experience with an EMR; Intermediate proficiency level with Outlook, Word and Excel

Good telephone skills

Good customer service and teamwork skills

Ability to maintain a professional attitude and demeanor at all times

Good verbal and written communication skills

Transportation Requirement:

Must possess a valid driver's license and automobile with insurance coverage as required by the State of Missouri. License(s)/Certification(s) Required:

CPR Certification FUNCTIONS OF THE JOB

Essential Functions

Monitor a caseload of managed care patients for compliance with appointments, prescriptions, immunizations, education and health/dental care utilization

Communicate noncompliance to members of the health care and dental team for appropriate intervention

Schedule patient appointments, make reminder appointment calls, contact patients that have missed scheduled appointments.

Answers telephone calls in a professional and timely manner.

Assist clinic staff by faxing, scanning and receiving incoming information and distributing mail for patients from managed care plans.

Monitor and request patient medication refills, specified laboratory results and immunizations to ensure compliance

Contact patients for missed refills (asthma medications, prenatal medications, etc.)

Communicate with patients to determine barriers to care (transportation, access, etc.)

Work effectively with the healthcare and dental team to alleviate barriers to care

Track ER, hospital, and UC patient visits

Educate patients on appropriate use of ER/UC

Prepare and distribute mailings to patients

Work independently within a team environment

Provide a report of interventions completed and care gaps addressed

Effectively work with other healthcare and dental team members to ensure coordination of care

Assist with patient scheduling throughout the organization.

Provides back up support and additional training for Health Center Support Clerk and Patient Support Representative positions as required

Perform other duties as assigned

Marginal Functions:

Attend meetings

Assist in preparation of monthly reports

Assists in resolving patient complaints

NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT

NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES

AN EQUAL OPPORTUNITY

SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS