Patient Navigator

About Company:

Long Island Select Healthcare Inc. (LISH) is a comprehensive network of community health centers. We are a Federally Qualified Health Center (FQHC) that provides Article 16 and 28 clinic services at 8 locations across Suffolk County, New York. We are a multi-specialty healthcare provider caring for our community through Primary and Specialty Medical Care, Dental, Behavioral Health, Audiology, Physical Therapy, Occupational Therapy and Speech Language Pathology. We currently provide care to over 7,000 patients and have an annual operating revenue of $22m.

LISH is a forward-thinking, community-oriented organization! We are a certified NYS Patient-Centered Medical Home, with a mission to make a difference in our community. Our unique offerings include a robust Chronic Care Management program, Telemedicine & Virtual Care services and integrated Primary & Behavioral Healthcare.

Patient Navigator

Essential Duties & Responsibilities:

1. Documents and tracks referrals within Long Island Select Healthcare's EMR (eClinicalWorks) and follow up with clinical team members, external parties, and the patient as required.
2. Responsible for obtaining & tracking pre-authorizations for all specialty services, diagnostics, and radiology services.
3. Applied clinical knowledge required (i.e. ability to triage referrals on the basis of diagnostic urgency)
4. Processes specialty insurance referrals & authorizations (i.e. Emblem, Fidelis, etc.)
5. Conducts pre-visit planning activities for patient appointments, alerts clinical staff of issues ahead of patient visit.
6. Effectively communicates referral status with clinical team members to ensure care coordination & meet PCMH standards of care.
7. Will provide relevant information about the PCMH program including brochures, that describe the values and goals of the program to patients. The information disseminated will be based upon the person's role as it relates to patient care within Long Island Select Healthcare.
8. Promote self-management support, including linking patients with community-based services & resources, health education services and preauthorization of tests and transportation.
9. Assists patients in need of transportation with obtaining rides to and from appointments.
10. Available to cover front-desk on an as-needed basis.
11. Have the means and ability to travel between clinics.

Supervisory Responsibilities

None.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

• High school diploma, General Education Diploma (GED), or High School Equivalency Diploma (HSE); College degree preferred.
• Previous patient navigation or case management experience preferred. Two years' experience in a healthcare setting required.
• Ability to obtain NYS Health Assistor certification within 90 days of employment.
• Notary Public preferred.

Necessary Skills & Abilities:

Language Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Ability to effectively multi-task, organize and set priorities.

Computer Skills

To perform this job successfully, an individual should have basic to intermediate knowledge of Microsoft Office software (Outlook, Excel, Word), as well as Practice Management and Electronic Medical Record software.

Other Skills and Abilities

1. Ability to work as part of a health care team; ability to embrace the role in the customer service equation.
2. Should be well organized.
3. Skill and ability to communicate effectively in oral and/or written form.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel, reach with hands and arms and talk or hear. The employee is frequently required to stand. The employee is occasionally required to sit; stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision and ability to adjust focus.

Travel

This job may require some travel between clinic sites.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential job functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Blood Borne Pathogen Classification: Category III