Care Navigator - PCCN

Position Details

Department: PCH-MAIN | Phx Children's Care Network
Category: Administrative Support
Location: Phoenix
Employee Type: Regular
Posting #: 420297
Posted On: 10/25/2018

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 pediatric patients and families receive efficient, effective and customer-service focused navigation of the healthcare system. May be cross-trained on Care Management Resource Coordinator duties to provide coverage support to the Phoenix Children's Hospital inpatient care management team.

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) Provides initial outreach to care management candidates, completes general sections of the Health Risk Assessment (HRA), and schedules time with the family for completion of HRA with the RN Care Manager.
    • f) Coordinates and schedules interdisciplinary care team conferences.
    • g) Serves as main point of contact for patients/families enrolled in care management services.
    • h) Under the direction of the RN Care Manager and/or Social Worker, tracks implementation of the care plan and goal completion.
    • i) Executes administrative portions of the care plan under the direction of the RN Case Manager and/or Social Worker. Activities may include, but are not limited to:
    • Sending patient education or resources
    • Sending primary care provider (PCP)/patient letters and medication lists
    • Arranging durable medical equipment (DME)
    • Arranging transportation
    • Assisting with appointment scheduling and follow up on prescription fills/refills
    • j) Logs all encounters with and about patients in the care management system.
    • k) Escalates barriers to implementing the care plan to the RN Case Manager and/or Social Worker.
  2. Provider Network and Population Support
    • a) Performs outbound calls on behalf of network practices to assist patients in obtaining necessary services to close gaps in care.
    • b) Promotes in-network facilities and providers.
    • c) When requested by families, facilitates three-way call to payers to re-assign PCP assigned to the patient.
  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) Responds to email within 24 hours or one business day.
  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
The position has been closed or filled.

Please search our career site for positions that are currently active and accepting resumes at https://careers.phoenixchildrens.com