Patient Navigator

Harbor Community ClinicLos Angeles, CA
1d

About The Position

The Patient Navigator will report directly to the Data Quality Manager and will be responsible for conducting targeted outreach to support closure of care gaps and improve patient engagement and retention. This role proactively communicates with patients to support timely scheduling, care coordination, and re-engagement of patients at risk for delayed or interrupted care. The Patient Navigator performs duties with professionalism, accuracy, independence, and strict confidentiality while supporting organizational quality improvement initiatives. This position is funded through the HCLA Access and Availability Improvement Grant. Continued employment is contingent upon ongoing grant funding and organizational needs.

Requirements

  • High School Diploma, or GED
  • Minimum 1 year of experience in Healthcare-related outreach, call center or front office experience
  • Bilingual English/Spanish required
  • Excellent customer service and interpersonal communication skills
  • Proficiency, Excel, Outlook, Microsoft Teams
  • Must have strong analytical and problem-solving skills.
  • Must have proficient computer skills, including Microsoft Office abilities, with intermediate Excel skills.
  • Must have the willingness and ability to adapt to change, including advances in technology.
  • Ability to handle multiple tasks and be highly organized and detail-oriented.
  • Must maintain confidentiality and handle sensitive information with discretion.
  • Adheres to all HarborCHC’s policies and procedures.
  • Conducts self in a manner that represents HarborCHC’s core values at all times.
  • Must possess a solid commitment to the mission, policies, goals, and philosophy of HarborCHC.
  • Maintains a positive and respectful attitude with all work-related contacts.
  • Communicates regularly with his/her immediate supervisor about departmental and HarborCHC concerns.
  • Consistently reports to work prepared to perform the duties of the position.
  • Meets productivity standards and performs duties as workload necessitates.
  • Maintain strict confidentiality of all data and information.
  • Demonstrates integrity and accountability for duties and responsibilities.
  • Performs all job functions in a professional and courteous manner. This includes answering phone calls and emails in a timely manner.
  • Legal authorization to work in the United States.
  • Clear all post offers, pre-employment background screening, and education verification.

Nice To Haves

  • Associates degree or equivalent preferred.
  • Familiarity with HEDIS, UDS and CMS clinical quality measures strongly preferred.

Responsibilities

  • Conduct telephone and SMS outreach to patients with outstanding care gaps to schedule Initial Health Appointments and Annual Health Assessments.
  • Validate and reconcile care gap lists using systems such as eCW, Cozeva, Azara, and health plan portals.
  • Perform insurance eligibility checks and coverage verification using health plan, Medi-Cal and Medicare portals.
  • Accurately document all outreach activities within designated systems and run outreach reports to track follow –up and outcomes.
  • Use appropriate software to communicate progress, submit questions, and escalate issues appropriately.
  • Provide patient education in clear, professional manner and in a manner that is understandable to patient and/or family
  • Assesses and problem-solves patient challenges/barriers to receiving needed care and services
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