Care Navigator - PCMG

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Position Details

Department: PCH-MAIN | Social Determinants of Health
Category: Administrative Support
Location: Phoenix
Employee Type: Regular
Posting #: 831229
Posted On: 4/17/2024

Position Summary

Care coordination is the deliberate organization of patient care activities to facilitate the appropriate delivery of health care services. This position works under the direction of a licensed health care professional and performs a variety of administrative duties in order help patients and families receive efficient, effective and customer-service focused navigation of the healthcare system.

Position Duties

  1. Care Management Support
    • a) Verifies insurance eligibility as needed and performs validation checks to ensure accurate contact information.
    • b) Verifies demographic information for the purposes of coordinating communication.
    • c) Meets with patients/caregivers during clinic appointments, documents in electronic medical record, coordinates time with the family for completion of patient forms and provides updates to the licensed health care provider.
    • d) Executes administrative portions of care coordination under the direction of the licensed health care professional and in cooperation with the health care multidisciplinary team.
    • e) Obtains medical records such as outside films, charts, pathology and other historical data as needed.
    • f) Activities may include, but are not limited to:
    • Providing written patient education or resources as directed by the licensed health care provider, communicating patient/caregiver needs or barriers to health care multidisciplinary team, facilitating phone/fax/email communication as indicated to expedite tasks, re-scheduling or coordinating follow-up appointments to attempt trip reduction for family, verifying readiness of prescribed medications at outpatient pharmacy, and communicating surgical readiness and plan with family and health care team.
    • g) Logs all encounters with and about patients in the electronic medical record.
    • h) Escalates barriers to implementing the care plan to the licensed health care provider and health care team.
  2. Program and Population Support
    • a) Manages data collection and entry.
    • b) Maintains databases.
    • c) Coordinates new patient referrals.
    • d) Assists with marketing program services and recruitment.
    • e) Assists with recruitment and on boarding of new team members.
    • f) Assists with administration of survey tools to patients/families, providers, and care management associates.
    • g) Maintains accurate department records.
    • h) Identifies and provides input to enhance effectiveness of systems and processes.
  3. Customer Service
    • a) Communicates clearly in both written and verbal communications with all internal and external customers.
    • b) Provides excellent service routinely in interactions with all internal and external customers.
    • c) Collaborates with others to acquire information and materials.
    • d) Answers telephone calls, takes messages, maintains schedules.
    • e) Responds to email within 24 hours or one business day.
    • f) Assists with coordination and scheduling of procedures, clinic visits, and other activities as directed by licensed health care provider.
  4. Education
    • Participates in a variety of educational programs to maintain current skills and competency levels.
  5. Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Education
Do you meet this requirement?
1. High School diploma or equivalent
Required
2. Associates in a related field or a combination of education and work experience.
Required
Experience
Do you meet this requirement?
1. Three or more years of experience in health care as a nursing student, medical assistant, home care coordinator, health unit coordinator, patient care technician, or related field.
Required
2. Experience with medical terminology.
Required
Certifications / Licenses / Registries
Do you meet this requirement?
1. Current BLS certification for Healthcare Provider from the American Heart Association.
Preferred
Special Skills
Do you meet this requirement?
1. Must function well in a team environment.
Required
2. Excellent communication skills: verbal, written, and interpersonal.
Required
3. Effective decision-making and problem-solving skills with demonstration of creativity in problem solving. Effective critical thinking skills.
Required
4. Computer competency skills such as experience with Excel, Word, and Electronic Medical Records.
Required
5. Bilingual (Spanish).
Preferred
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing - Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Constantly
4. Physical Requirement - Hearing - Constantly
5. Physical Requirement - Pushing/pulling - Occasionally
6. Physical Requirement - Reaching - Occasionally
7. Physical Requirement - Sitting - Constantly
8. Physical Requirement - Standing - Frequently
9. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally
10. Physical Requirement - Talking - Constantly
11. Physical Requirement - Tasting/smelling - Occasionally
12. Physical Requirement - Walking - Frequently
13. Physical Requirement - Near Vision - Frequently
14. Physical Requirement - Far Vision - Occasionally
15. Physical Requirement - Color Discrimination - Occasionally
16. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly
17. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally
18. Physical Requirement - Lift more than 35 pounds without assistance - Occasionally
19. Occupational Exposure/Risk Potential - Inside office environment - Applicable
20. Occupational Exposure/Risk Potential - Airborne communicable diseases - Applicable
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply