Ambulatory Care Navigator - Wellness Center

Baptist Health Care • Pensacola, FL

1d

About The Position

The Ambulatory Care Navigator is a member of the patient care coordination team and works to improve the health outcomes of our patients. Using reports from the third party payers and internally developed reports, this position will conduct patient outreach to assist patients with scheduling, ensure patients have appropriate follow up instructions, and connect patients with support services agencies. This position will be involved in activities to engage the physician practices in ongoing efforts of continuous quality improvement using nationally recognized measures. This position provides communication and support to the primary care providers regarding HEDIS, health maintenance, and management of chronic conditions of their patient panel.

Requirements

• Minimum Education Technical Diploma/Certificate Medical Assisting, Practical Nursing Required or Military trained corpsmen Required
• Minimum Work Experience 2 years Experience in a clinical practice or other healthcare setting Required
• Licenses and Certifications Licensed Practical Nurse State of Florida or eligible compact state Upon Hire Required or Certified Medical Assistant (CMA_AAMA) Upon Hire Required or Clinical Medical Assistant (CLMA_NHA) Upon Hire Required or Medical Assistant (NCMA_NCCT) Upon Hire Required or Medical Assistant (CMAS_NAHP) Upon Hire Required or Medical Assistant (RMA_AMT) Upon Hire Required and Medical Assistant Membership (AMT) Upon Hire Required
• BLS for Healthcare Providers (BLS) American Heart Association within 30 Days Required
• Physician relations and consensus-building.
• Ability to work independently.
• Excellent problem-solving skills.
• Ability to use data for decision-making.
• Excellent communication skills.
• Proficient in Word, Excel, PowerPoint and other software applications.
• Knowledge of EHR navigation.
• Knowledge of medical terminology, anatomy and physiology.

Responsibilities

• Uses appropriate internal and external reports, conducts outreach to primary care patients for the purpose of population health management.
• Performs pre-visit planning in alignment with data from outreach reports.
• Communicates with physicians and APPs regarding care coordination activities, including medication adherence, HEDIS care gaps, facilitates referrals to Baptist MTM clinic, etc.
• In collaboration with practice physicians and APPs prioritizes clinically important conditions for care coordination focus.
• Ensures positive impact on patient care, patient experience, and effect of care coordination on population health.
• Develops relationships and on-going communication with the 3rd party payer representatives regarding HEDIS care gap closure and payer engagement activities, not limited to but including case management requests.
• Works to ensure that our system maximizes all opportunities with the 3rd party payers.
• Develops and sustains excellent relationships and communications with our primary care physicians, APPs, practice managers and staff.
• Ensures that care coordination and population health management systems meet the needs of the patients and our primary care providers.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed