OverviewDignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health – one of the largest health systems in the nation - with hospitals and care centers in California, Arizona, and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians, and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience, through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service.ResponsibilitiesThis position is hybrid in-office/clinic and work from home.Please note: This position will be expected to work Saturday rotations.Position Summary:The Navigator is an integral part of the Care Coordination Care team. The care team program improves the quality of care and clinical outcomes for members with complex care needs by coordinating care within the healthcare delivery system using a collaborative partnership approach.The Navigator collaborates with multiple disciplinary team members across the continuum of care. The Navigator supports the care team with reducing fragmentation of patient care improves compliance and access to care supports efforts to reduce or remove treatment barriers and assists patients in navigating their path through the continuum of care with the goal of improved care coordination amongst providers and reduce hospitalization readmissions and ER visits.This position will involve telephonic management and direct patient contact through follow up at clinic appointments in a community setting and/or home visits as needed. Travel may be required with telecommuting option.Responsibilities may include:
Clearly communicates the purposes and services available in the Care Coordination program to patients, family members and caregivers.
As part of the Care Coordination Team assists patients in understanding care plans and instructions and helps patients actualize health management plans and goals.
Receive patient requests for assistance and refers patient to appropriate member of Care Coordination Care Team (PCP Care Coordinator Social Worker Pharmacist) for resolution unless Navigator can resolve on his/her own and within the scope of the position.
Coaches patients in self-management problem solving and empowers patient family and/or caregiver to achieve maximum levels of wellness and independence.
Assists patient with navigating the healthcare system to minimize fragmentation in services obtain timely care and appropriate access to providers services and necessary procedures.
Monitors patients compliance with scheduling and keeping PCP and specialist appointments identifying patterns of non adherence and coordinates scheduling of needed patient appointments.
Contacts patient telephonically meets patient at clinic appointments or other settings as needed to assist with care coordination.
Identifies problems with healthcare access and utilization providing alternatives to overcome these difficulties.
Assist patient with obtaining the most beneficial cost-effective health care to enhance the patients health and wellness safety productivity and quality of life.
Identify and assist patient with obtaining community resources and services to address the established goals or desired outcomes.
Performs other duties as assigned.
QualificationsMinimum Qualifications:
At least two (2) years as Medical Office Referral Coordinator, Medical Assistant, or Health Plan.
High school diploma or equivalent.
Basic understanding of ALOS re-admission rates Gaps in Care.
Demonstrated experience in Microsoft Office typing and computer data entry.
Must be able to communicate clearly and concisely with all levels of individuals sometimes in stressful situations.
Must be flexible and able to adapt to changing patient and organizational priorities.
Ability to manage conflict stress and multiple simultaneous work demands in an effective professional manner.
Demonstrates respect concern and empathy for the spiritual and emotional needs of patients.
Preferred Qualifications:
Managed Care Organization Utilization Technician experience preferred.
Associates degree preferred.
This position is hybrid in-office/clinic and work from home.Please note: This position will be expected to work Saturday rotations.#carecoordinationPay Range$23.00 - $31.38 /hourWe are an equal opportunity/affirmative action employer.
